222 
REPORTS OF OASES. 
A year ago the owner employed an army surgeon to remove 
the tumor. The horse was prepared for the operation, but on a 
close examination the surgeon concluded it would be risky to un¬ 
dertake the operation, and refused to do it, from the fact of the 
subcutaneous thoracic vein lying directly over the center of 
the tumor. 
Upon examining the tumor I found that it lay under the 
panniculus, and diagnosed it as a lipoma. 
The owner wished it extirpated, and I undertook the opera¬ 
tion June 11th. I first injected a 20 per cent, solution of cocaine 
into the panniculus. I then cast the animal on the right side, 
first making a bold incision, about thirteon inches long, down to 
the tumor, just above and parallel to the vein, and then making 
an incision perpendicular to the first incision and beginning at 
about its center and extending to the upper border of the tumor, 
a distance of about six and one-half inches. I lacerated the fibrous 
bands that attached the tumor to the surrounding muscles and 
tissues, and brought the lower half of the tumor out from be¬ 
neath the vein and panniculus. I then found it was still fastened 
to one of the ribs by a strong pedicle, two inches in diameter; 
this I severed with an ecraseur. The tumor weighed nearly ten 
pounds, and proved to be a lipoma. The wound healed rapidly, 
and at the end of five weeks it entirely healed, leaving a very 
small cicatrix. 
\ 
PUNCTURED WOUND OF THE RECTUM—DEATH. 
By C. Peabody, D.Y.S. 
* Without entering into full daily details of this case, and 
merely referring to the treatment used as a means to make the 
patient comfortable, I wish to record it as an illustration of the 
difficulty of making a diagnosis when the history of a case is in¬ 
complete. 
April 25th I was called by my friend, Mr. R., a practitioner 
in a neighboring city, to see with him an animal belonging to one 
of the departments of that city. 
