492 
REPORTS OF CASES. 
the case, and on enquiry of the boy whose duty it was to lead the 
animal for exercise, he stated to me that she had been lined by 
quite a large bull terrier. By the fetor I diagnosed a dead foetus 
On examination I found a breech presentation. By careful ma¬ 
nipulation I got a small fine wire over the pelvic bones and a 
string to each hind foot, when, with a steady pull, I got the body 
and forward extremities out, but the head resisted. Taking a 
curved needle I passed it through the neck as close to the vulva as 
possible, and passed through a stout piece of twine, by which I 
separated the body from the neck as close to the vulva as I could. 
Then pushing the head forward with a pair of spoon forceps 
having a well curved shank, by external manipulation I succeeded 
in getting hold of the head and crushing it. Repeating this pro¬ 
cess three times, I then drew on the string and removed the head 
without any trouble. Feeling nothing more, I gave a good stim¬ 
ulant and left, having been engaged about two and one half hours. 
Next day the animal looked well. I drew milk with a breast 
pump. Her condition improved until the eighth day, when she 
became very dumpish and refused to eat or drink, and the tenth 
day I made an autopsy. I found all the organs healthy, but in 
the right horn of the uterus I found an ulceration about one and 
a half inches long and half an inch wide, which had perforated the 
walls of the organ. In order to get rid of fetor its mistress had 
injected a solution of carbolic acid and rose water into the vaginal 
cavity. I would say I found quite a lot of fluid in the abdominal 
cavity. Was this done in trying to crush the head, by getting a fold 
of the uterus between the blades of the forceps, or was it done by 
the end of the metallic tube used on the end of the syringe ? And 
again, would it have been better, as the foetus was dead, to have 
had recourse to the Caesarean section to get rid of the head ? 
A SEVERE CASE OF DISTOKIA—DOUBLE PREGNANCY. 
On July 14th, 1884,1 was requested to see a large Dutch cow 
which had been sick for three or four days. I was told that she had 
received about two gallons of different stuffs, that she had frequent 
pains and was about eight months pregnant. By the fetor and 
