228 
REPORTS OF CASES. 
desire to evacuate her bowels, which she did without assistance, 
but had considerable pain in doing so. 
I gave her warm water, carbolized, three and four times daily ; 
made an examination of her rectum every few days; kept the 
wounds in the stricture, etc., open. In about a week she had 
no trouble in expelling her faeces, and was sent home on May 27th. 
I made another examination and found the rectum where the 
stricture had been had assumed a normal condition and the animal 
was all right. 
FATTY DEGENERATION OF DIAPHRAGM. 
By E. R. Forbes, Y.S., 2d Cavalry, U.S.A. 
On the evening of March 1st I was hurriedly called to see a 
brown mare which had recently been taken from a carload of 
through stock. On my arrival I found her in great distress, respi¬ 
ration rapid and difficult, nostrils dilated, pulse feeble and op¬ 
pressed, running 90; Schneiderian membrane red and injected, ex¬ 
tremities deathly cold. Hot having a clinical thermometer with 
me, I was unable to take the temperature. 
Upon inquiry, I learned that the symptoms had been first 
noticed about half an hour before my arrival. Although the symp¬ 
toms indicated pulmonary congestion, yet I feared other complica¬ 
tions and reserved my diagnosis. In about half an hour she be¬ 
gan to show great uneasiness, stamping with the hind feet, heaving 
from side to side; extremities deathly cold, pulse rapidly running 
down, and occasionally attempting to sit back upon her haunches. 
I now diagnosed it as a case of rupture of the diaphragm, the 
dyspnoea being caused by the protrusion of the intestines into the 
thoracic cavity. Death occurred in about two hours from the time 
when she was first noticed to be sick. The post mortem proved it 
to be a severe case of pleuro-pneumonia of long standing. 
On opening the thoracic cavity on the left side about two gal¬ 
lons of effusion escaped; the pleura, covered with false membranes, 
and the parenchyma presented a dark brown appearance, closely 
resembling the color of the liver. The diaphragm showed complete 
fatty degeneration, was ruptured in two places, and about four 
feet of the intestines protruded into the thoracic cavity. I report 
this case as probably the only one on record. 
