562 REMARKABLE CASE OF RUPTURE OF THE DIAPHRAGM. 
Institution occupy the same relative positions as they did at 
the time to which Mr. Hopkin particularly alludes. 
A REMARKABLE CASE OF RUPTURE OF THE 
DIAPHRAGM AND STOMACH. 
By Stephen Beeson, Jun., M.R.C.Y.S., Harrogate. 
On Thursday, July 3rd, I was called to a bay carriage- 
horse, which was suffering from abdominal pain. He had 
taken his food as usual in the morning, and was afterwards 
driven a journey of fourteen miles, but had refused both 
food and water on the journey. 
On reaching home he seemed uneasy, and as the pain 
did not pass off my attention was called to him. I found 
him walking round the box, evidently in continuous pain. 
The pulse, however, was only 42, the breathing very little 
disturbed, and the surface of the body and extremities warm. 
His appetite was quite gone. 
The symptoms appeared to yield to the treatment adopted, 
but the next morning great constipation of the bowels was 
present, and the conjunctival membrane was much injected; 
still the pulse was not more in number than on the preceding 
day, and the breathing remained natural. Although every 
means possible was tried, yet the constipation did not yield 
in the least. 
From Friday to the following Tuesday very little altera¬ 
tion took place. He still refused everything in the way of 
food, except a little grass, of which he took only a very 
small quantity, nor would he take drink of any kind. On 
Tuesday night the pulse rose; but, except occasionally, the 
breathing still continued normal. Wednesday morning both 
pulse and breathing were now excited, and by night the 
countenance became haggard and the breathing greatly 
increased. 
He died at 8 o’clock on Thursday morning, having 
lived just a week, during which time he had apparently 
not suffered much pain. Most certainly he had never shown 
throughout his illness any indications of violent pain, nor had 
he been seen to be in a position which was likely to produce 
the extraordinary lesions which were found on post-mortem 
examination. 
On opening the abdomen the first thing noticed was 
an escape of alimentary matter. The bowels being removed, 
a large quantity of dark-coloured fluid was found in the 
