REPORTS OF CASES. 
123 
then extended from the flexure of the neck with the inferior max- 
. illary bone, downwards for the upper two-thirds of the neck. 
There was a doughy feeling but no fluctuation. I introduced 
small trocar and canula; got a few drops of thick pus, made in¬ 
cision of an inch at the point where the incision for the operation 
of trachseology would be made. 
Evacuated about 12 oz. of pus mixed with masticated food of 
a foetid odor. An exploration with the finger reveals a rupture 
of the oesophagus, in its upper third, of about an inch. Gave 
water, and the entire amount taken in at the mouth was collected 
from the opening in the neck. 
Cleansed the wound and reported to owner. As I was obliged 
to go out of town, did not see the animal till the next day; had 
the owner’s consent to anything that I saw tit, as he considered 
the case hopeless. 
The temperature at this time was 1001°. Was thin in flesh, 
but had no trouble from the inter-maxilliary abscesses. Secured 
the animal, and using a flexible catheter as a probang, found 
that there was no stricture. 
Edges of ulcer felt hard and granular. Concluded that the 
collection of pus had ulcerated through the coats of the oesopha¬ 
gus. 
Enlarging the incision on the median line to about four in¬ 
ches, I cleaned out the food, and then made counter-opening on 
side of neck in jugular groove in front of vein. This counter- 
, opening was directly over the opening in the oesophagus, and 
when water was given, it could be seen to escape from the gullet. 
When the finger was placed over the opening, no water escaped. 
Dressed antiseptically and packed full of oakum, which was re¬ 
tained by a tent of oakum drawn through the openings in the 
skin. The ulceration of the oesophagus was left to take care of 
itself. The animal was then placed in a stall with no bedding. 
No hay or solid food to be given, and the diet to be wholly 
liquid, consisting of milk and gruels. In a week’s time there was 
a perceptible closing of the ulcer by granulations, and in two 
• week’s time cooked oats and bran was allowed. No attention 
was paid to the ulcer, further than to keep the drainage good. 
