- Email: [email protected]
A peculiar case of intussusception of the small intestine of the horse
154
GENERAL ARTICLES.
It may also be observed that the natural case which furnished the material for inoculation had a character favourable for the experimental transmission of the disease, assuming it to be caused by a parasite, viz., that of extreme malignancy. Finally, it may be mentioned that in a former experiment, almost exactly parallel to the one here described, a like negative result :'vas obtained (see this Journal, Vol. XIII. p. 342).
A PECULIAR CASE OF INTUSSUSCEPTION OF THE SMALL INTESTINE OF THE HORSE.
By the Same. THE following case appears to merit description on account of its rarity. The subject was a chestnut mare, aged seven years, which died in the College Infirmary on the morning of the 9th April last. The animal had been admitted on the previous day, on account of symptoms of severe abdominal pain. The post-mortem examination was made two hours after death, and the abdomen was then slightly
3
..
Intussusception of the small intestine into the mecum.
1, Ileum; 2, point of CEecum; 3, loops of intussuscepted ileum exposed by removal of part of C:Bcum.
tympanitic. \Vhen the abdominal wall was reflected the peritoneal cavity was found to contain a considerable quantity of deeply bloodtinged liquid, and displacement of the intestines showed that the mesenteric veins belonging to the posterior part of the small bowel were much distended with blood and had h;emorrhages along their course. Further examination revealed the presence of an intussusception which appeared to begin about six inches from the termination of the ileum. As soon as these points had been determined the
GENERAL ARTICLES.
155
whole of the intestines were cut out for more minute examination, which disclosed the state of affairs shown in the accompanying photograph. About three feet of the intussuscepted ileum had passed into the c;ecum, the contents of which were deeply blood-stained. The loops of small bowel in the c;ecum had a spiral arrangement, and their outer surface was formed by the everted mucous membrane, which was deeply congested. The loops were also tympanitic.
MULTIPLE POLYPI IN THE SMALL INTESTINE OF A COW. By the Same. THE specimen of which a portion is reproduced in the accompanying photograph has been in the College Museum for the last six years, and it is, if not unique, at least of a very rare character. It is a portion of the small intestine of a cow, and it was forwarded to me ill
the month of June 1896 by Mr Voisin, F.R.C.V.S., Millbrook, Jersey. The history which accompanied the specimen was that the cow from which it had been taken had suffered for some time from persistent diarrhcea, although the appetite was not interfered with. The tuberculin test was applied on two occasions, but on neither was there any reaction. The cow had recently dropped a healthy calf, which was doing well, but as there was no improvement in the condition of the cow herself ::vIr Voisin advised slaughter, and that was carried out. Mr Voisin made apost-morte11l examination, and found all the internal organs normal in appearance, with the exception of about six feet towards the middle of the small intestine. The whole of this part of
GENERAL ARTICLES.
It may also be observed that the natural case which furnished the material for inoculation had a character favourable for the experimental transmission of the disease, assuming it to be caused by a parasite, viz., that of extreme malignancy. Finally, it may be mentioned that in a former experiment, almost exactly parallel to the one here described, a like negative result :'vas obtained (see this Journal, Vol. XIII. p. 342).
A PECULIAR CASE OF INTUSSUSCEPTION OF THE SMALL INTESTINE OF THE HORSE.
By the Same. THE following case appears to merit description on account of its rarity. The subject was a chestnut mare, aged seven years, which died in the College Infirmary on the morning of the 9th April last. The animal had been admitted on the previous day, on account of symptoms of severe abdominal pain. The post-mortem examination was made two hours after death, and the abdomen was then slightly
3
..
Intussusception of the small intestine into the mecum.
1, Ileum; 2, point of CEecum; 3, loops of intussuscepted ileum exposed by removal of part of C:Bcum.
tympanitic. \Vhen the abdominal wall was reflected the peritoneal cavity was found to contain a considerable quantity of deeply bloodtinged liquid, and displacement of the intestines showed that the mesenteric veins belonging to the posterior part of the small bowel were much distended with blood and had h;emorrhages along their course. Further examination revealed the presence of an intussusception which appeared to begin about six inches from the termination of the ileum. As soon as these points had been determined the
GENERAL ARTICLES.
155
whole of the intestines were cut out for more minute examination, which disclosed the state of affairs shown in the accompanying photograph. About three feet of the intussuscepted ileum had passed into the c;ecum, the contents of which were deeply blood-stained. The loops of small bowel in the c;ecum had a spiral arrangement, and their outer surface was formed by the everted mucous membrane, which was deeply congested. The loops were also tympanitic.
MULTIPLE POLYPI IN THE SMALL INTESTINE OF A COW. By the Same. THE specimen of which a portion is reproduced in the accompanying photograph has been in the College Museum for the last six years, and it is, if not unique, at least of a very rare character. It is a portion of the small intestine of a cow, and it was forwarded to me ill
the month of June 1896 by Mr Voisin, F.R.C.V.S., Millbrook, Jersey. The history which accompanied the specimen was that the cow from which it had been taken had suffered for some time from persistent diarrhcea, although the appetite was not interfered with. The tuberculin test was applied on two occasions, but on neither was there any reaction. The cow had recently dropped a healthy calf, which was doing well, but as there was no improvement in the condition of the cow herself ::vIr Voisin advised slaughter, and that was carried out. Mr Voisin made apost-morte11l examination, and found all the internal organs normal in appearance, with the exception of about six feet towards the middle of the small intestine. The whole of this part of