REPORTS OF CASES. 
199 
of twine round the duodenum, one close to the pyloric orifice 
the other about three inches from it. On dividing the intes¬ 
tine between the ligatures, we found it simply full of bots, 
adhering to the mucous membrane in a solid mass and com¬ 
pletely occluding the canal. The stomach itself only contained 
a few bots and these all attached round the pylorus. 
As some might suppose that the bots had detached them¬ 
selves after the death of their host and passed into the duode¬ 
num, 1 may mention that the post-mortem was made imme¬ 
diately after death, and that the bots were all still firmly 
attached to the mucous membrane. 
I think there can be no doubt that in this case the whole 
of the structural changes noticed were due to the gradual, 
occlusion and perforation of the duodenum by the bots. 
GASTRIC FISTULA—TERMINATION. 
By J. J. Kraus, D.Y.S., Cedarburg, Wis. 
This lesion being so scarce,, and literature on the subject 
unobtainable, a report of the following case which occurred 
iti my practice in the fall of 1888 will be interesting to many 
of my professional brethren : 
History.— Two or three weeks before 1 was called to see 
the case, a valuable Holstein, four years old, had been horned 
in the right flank, and thereby violently thrown on to a short 
stump, of the size of a man’s wrist, causing quite a bad bruise, 
which in the course of ten or fourteen days developed into a 
large abscess, ruptured and discharged a large amount of very 
offensive pus, mixed with contents of the stomach. 
The owner, upon seeing this, lost all hopes of recovery, 
and it was only through accidental coincidence with the same, 
on the evening of the third day after the rupture had taken 
place, that I was requested to attend to the case. 
On examination, I found the patient languid, rapid emacia¬ 
tion, but little thirst and appetite, rumination almost entirely 
suspended, temperature 102 3-5, pulse 55 ; and on the infero- 
posterior border of the last rib (on the left side) a fistula of 
the size of a lead pencil discharging a very offensive material, 
consisting of pus and gastric-ingesta. 
