kEFoitTS of 'cases. 605 
left in place for three days. When taken off the animal 
seemed to be radically relieved, as for two weeks no further 
trouble appeared. After this length of time, a slight tendency 
to the leturn of the trouble showed itself. The opiate sup 
pository and india rubber pessary proved, this time, of no 
avail. Cold water irrigations seemed once again to bring on 
a good result, and for about three weeks the bitch seemed to 
enjoy perfect health. 
During that time the owner had been notified of her con¬ 
dition, and though he had forbidden amputation in any case, 
it was feared that the operation would become necessary, 
should the prolapsus return. And it did return towards Oc¬ 
tober 25th, being, as on the previous occasions, indicated by 
the continued straining of the bitch, as if trying to defecate. 
This time all efforts to reduce the organ remained fruit¬ 
less, and the owner was notified of the state of affairs. He 
paid no attention to our notices, and after waiting nearly a 
week, the condition of the bitch becoming worse, she was 
astherized and made ready for the operation. 
The inversion of the organ was not complete, nor could it 
be made so. The walls were so thickened and hard that the 
ecraseur broke during the amputation. A strong ligature 
was then applied in its place, and excision made with the knife. 
The operation was almost bloodless. The animal re- 
mained comfortable, and was doing well for the first three 
days, but at the end of the third day she refused her food 5 
her temperature rose to 103^°, her pulse to 120, and she died 
during the following night. 
On opening the abdominal cavity two or three quarts of 
dirty, offensive fluid escaped. There was localized peritoni¬ 
tis in the vicinity of the genital organs. Both ovaries and 
sub-lumbar glands were enlarged and filled with abscesses. 
The examination of the removed uterus having revealed that 
the internal surface showed only the opening of one cornua, 
careful dissection of the pelvic cavity showed that there was 
only one of those appendages of the uterus, there remaining 
in the pelvis but the remainder or strings of one cornua, cor¬ 
responding to the opening that existed in the uterus. There 
