INFLAMMATION OF TIIE DUODENUM. 
705 
which were petechial spots somewhat isolated and of a dark 
colour; the tongue and buccal membrane were dry; the 
extremities cold, the eyes assuming’ an amaurotic aspect; the 
bowels were much constipated; a total suppression of urine, 
and he walked continually in a circle within his box, 
occasionally neighing and halting at intervals. 
Treatment .—I gave immediately Decoct. Aloes co. f' 3 iij 
Hydr. Chlorid. 5 j, Pulvis Opii 5 ss, in the form of draught, and 
applied sinapisms over the abdomen and chest, and threw up 
injections of soap and water. At 5 p.m. no visible change 
was present, beyond that of the vital powers being more 
prostrated. 1 considered the case as being one of structural 
disease of some part of the alimentary tract, but the precise 
portion of which it was impossible to say, or to what extent 
it existed. Of course I considered the case as being hope¬ 
less, and told the owner my opinion. At the same time 1 
suggested the desirability of venesection being resorted to, 
and which was had recourse to, to the amount of three 
quarts, without, however, affording the least relief. Viewing 
the case as a purely professional one, I advised the owner 
to consult Mr. F. Mavor, M.R.C.V.S., who, having very 
carefully examined the animal, diagnosed it to be a case 
of rupture of some of the internal viscera, and considered it 
altogether hopeless. The horse lingered on until after twelve 
o’clock the same night, exhibiting symptoms of the most 
excruciating agony, but still conscious until death took 
place. 
Post-mortem appearances .—As soon as the rigor mortis was 
complete, the knacker, who had been waiting for some time 
in anticipation of the prognosticated result, proceeded to open 
the abdominal cavity and remove the contents thereof. The 
entire course of the intestines were healthy, excepting about 
three inches at the pyloric end of the duodenum, which was 
in a state of partial decomposition and much circumscribed, 
with a few ecchymosed patches somewhat isolated; no doubt 
the result of active inflammation. On cutting through this 
viscus, I found a few rough vegetable fibres on the mucous 
surface enveloped in effused fibrine, and at the extreme 
upper and inferior part of the same viscus was attached a 
large fatty tumour weighing upwards of two pounds. It was 
somewhat irregular in outline, and slightly convoluted, 
assuming a pallid pink aspect, which no doubt was the result 
of the hematine of the blood being exudated by pressure on 
the capillaries. All the organs of the thorax were perfectly 
free from disease. 
I submitted the morbid specimen to Professor Varnell, 
