REPORTS OF CASES. 
495 
course of the night, in pawing and rolling, he broke the manger 
and stall into pieces. Symptoms : temperature slightly elevated, 
expanded nostrils, short respiration, which was particularly strik¬ 
ing and unusual for any disease of the bowels. Continued ab¬ 
dominal pain. Diagnosis: obstruction in the small bowels, giving 
rise to inflammation of the same. Through the course of the day 
it was evident he was getting worse. In the evening I prognosti¬ 
cated death by the morning, which took place about 7 o’clock, 
a. h., on the 17th. 
Post-mortem. On opening the abdomen, so that the small 
intestines were presented to view, a pear-shaped tumor was pre¬ 
sented, to the neck of which was attached what appeared to be a 
peritoneal membrane enveloping the upper and smaller part of 
the tumor, without being at any point attached to it, leaving it free 
to vibrate like a pendulum. This membranous sack was thrown 
together at the upper end like the drawing strings of a money 
purse into a flat tough membranous band about one and one-half 
inches wide and long enough to be lapped twice around the 
bowel, and then spread out or radiated, forming a finer membra¬ 
nous substance which I think was attached to the mesentery. 
Here I must digress to make au apology for saying that I 
think it was attached to the mesentery, because I should be able 
to say whether it was or not, and further I should have examined 
in every particular to have made an intelligent and interesting 
report, which I did not do. As soon as I discovered the tumor, 
I severed its band that surrounded the bowel without stopping to 
look for its attachments (or from whence it originated), and whilst 
I was looking at the tumor those standing by plunged bowels and 
horse into his grave together, which cut off all further examina¬ 
tion. It was the jejunum that was strangulated with the membra¬ 
nous ligament having lapped twice around it. This must have been 
done by the motion of the horse in traveling; the weight of the 
tumor (three pounds) flapping up and down had jumped the bowel 
twice. For the width of one and one-half inches of the bowel 
around which this band was lapped, the bowel was not more than 
one-fourth of its normal size, having the appearance of an old rope 
that had been tied in a hard knot for a long time. The mucous 
