TETANUS (TRAUMATIC). 629 
fixed by long-standing adhesions to abdominal walls, even 
vascular communications between the peritonea having been 
established. Similarly, the spleen was attached to the small 
intestines, and part of it had undergone a most remarkable 
change, presenting a dense fibrous structure, almost wholly 
composed of vessels of a bright orange colour. The small 
intestine was congested in some parts, and many of the lac- 
teals running through the mesentery showed a beautiful 
natural injection with an inspissated purulent fluid; they 
were much enlarged, presented a beaded appearance, and a 
bright orange yellow colour. The mese7iteric glands were 
enlarged, of a flesh colour, and indurated. Between the 
kidneys was a large collection of pus of an abnormally tena¬ 
cious character, which, judging from its form and position, 
seemed to fill the receptaculum chyli; but if such was the 
case, the walls of that vessel were abnormally thickened, and 
its trabeculae increased in size and strength. Proceeding 
along the course of the thoracic duct , in a forward direction, 
was another collection of pus of the same nature, and a third 
accompanied the splenic artery along its course towards the 
spine. The blood in the colic veins was remarkable for its 
gelatinous consistency and transparency; that contained in 
the heart and larger vessels had coagulated, forming a clot 
mainly of a straw colour. The liver , dark in colour through¬ 
out, on being cut into, presented a light brown surface with 
a number of the cut extremities of vessels emitting dark 
coloured blood. The thoracic cavity was almost filled with 
a.dark coloured serous fluid, and every part of the pleura 
presented adhesions of a recent nature for the most part, but 
a few false membranes of a chronic nature. The lungs , 
extremely small in size, were indurated in some parts, con¬ 
gested in others, and gangrene was commencing in one or 
two places. Kidneys and bram normal. 
This case aflords, in addition to its specific character, a 
good illustration of death from defective supply of nourishing 
matter to the blood through prevented assimilation. 
TETANUS (TRAUMATIC). 
By the Same. 
Bay gelding, second charger of Major D., Royal Artillery. 
Dec. 30th.—About three weeks ago the patient ran away 
with a carriage, and striking against a lamp-post fell, coming 
