REPORTS OF CASES. 
709 
not touch anything else ; temperature 103°, pulse 50, respira¬ 
tion 20. Gave instructions to give the serum once in six hours. 
I called that night ; temperature 100°, pulse 50, respiration 16 * 
ready to eat bran mash; faeces in a better condition, inclined 
to be ill balls and no blood ; reduced the frequency of the serum 
doses^ to once in eight hours ; everything progressing finely, 
swellings going away ; commenced to give only 10 c. c. a day, 
when, on my next visit, I found swelling very much larger; 
not so well; increased to once in eight hours again. Next day 
they were smaller ; kept this up for four days ; then reduced to 
once in twelve hours for a few days, gradually falling off till he 
received only one a day. Kept this up for four days; then 
stopped to wait further developments. Everything going on 
finely; put my patient on tonics and he made a sple'iidid 
recovery. 
I hope others will try this serum treatment, and report. I 
am very much taken with the treatment. I havx just received 
200 c. c. more, to have on hand, so I will not have to wait for 
the next one. I would say that the horse received 340 c. c. all 
told. 
VESICO-RECTAL FISTULA. 
By J. D. Sturm, V. S., Dana, Indiana. 
On September 15th, a three-year-old mule came to my barn 
with a long standing case of impaction of the rectum. The 
anus and rectum were badly swollen, and from the enormous 
i quantity of faeces lodged therein I judged that he had been con¬ 
stipated quite a while. 
The owner of the mule said he had been running on blue 
grass pasture, which was very dry, owing to the long continued 
drought. I dislodged the faeces, and gave the mule the ordinary 
treatment. By the 20th the swelling on anus was all o-one, 
' so I gave the owner the necessary instructions as to his feed and 
care, and heard no more from him until September 30th. The 
owner called and said the mule was not urinating right, but 
was urinating through his rectum. I called and found the fol¬ 
lowing conditions : The mule looked uormal with the exception 
of above condition. He would strain as if urinating but pass 
nothing ; then would arch his back and strain as if to evacuate, 
and expel the urine through the rectum, and would expel it as 
if one had given a warm-water injection. I made a rectal ex¬ 
amination, but could not detect anything ; found fseces about 
ten to fifteen inches anterior, without any urine on them ; by 
