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An Interesting Excision of one Uterine Horn after Fœtal Retention
EXCI SIOK OF ONE UTF JnJ:\E HORN
131
loose a nd kicked se1·era l ot her;;. a nd t he nex t da1· t he ma re in question was found to he splas hed \\·ith blood ru nnin g from t he v ul va. This gan· ri ~e to fears of abo rti on. :\[oreol·c r. oth er a la rming symptoms -uppo rted th is 1·iew : T empera ture !)!)· 2° F. (35 · I o C. ) : di scolora tion <>f thl' mtt ro us membran es: si011· pul se; ferbl e b loody mi cturition , the urin e co nta inin g numcrn u'i clots of blood ; several ecchy moses .tccompani cd by cl iHu sed ('edema; and an ex treme sensitiveness in the rig h t lumba r reg ion : a ll poin ti ng to injury on this side, with th e possib ili t1· of ih ha1· ing e-..: tcnd ed to th e k id neY and leadin g t hcemo rr hag ic ne phriti s. Tlw mart' w a~ trea ted with campho rated oil , ad renaline, a n gelat ini ·cd ,;(' rum . a n I in a few days showed 'iO much cha nge for th bet ter tha t within three " ·eek,; a d efinit f.' cure had been effr cted wit hout a hor tion .
An Interesting Excision of one Uterine Horn after F retal Retention. By GUY SUTTON, F.R.C.V.S., A'ensin[!.lou. f. ondon, W .
.-\ 1'.\L l'.·\ BLE bu ll -hi tch 11·as brough t in to h ospital in Aug us t for :tssistance at par turition. S he h ad been in la bour m any hours and had produced one p uppy. minus its head. Later in the clay , or ra ther c a rl~ · next morn ing . three more dead puppi es were del ivered with forceps. Th e possibilit1· of one of t he heads bei ng till reta ined was cl iscu'isccl. It co uld no t be felt, a nd it was ass umed that the bitch had in some 11·a\ · detac hed i t in her endea 1·ours t o d eli ver. She ra pidl y recon· red fro m her o rd ea l, put on fl esh , and was very well , with the except ion of ct thin vagin a l d ischarge . Tn Nove mber s he came under inspec ti on aga in. .'\ body t he size of a la rge walnut co uld be fe lt throug h t he a bdomin a l 11·a ll. and with th e fin ge r in the 1·agina the ~a me body coul d b\: felt , bu t a lways co1·crcd with mucous mem brane. l t could a l:;o be g ra s ped 11·ith forceps. but gave th e same feel to t he to uch ; th <' impre · ion recei1·ecl suggest ing t hat th e forceps were in one co rnu and th e obj ec t in t he oth er. Greatly n a ring, th e obj ec t 11·as gently squeezed with a :;mall pair of parturiti on forceps. It was :i li g htl y co m pressable. She still rem a in ed well , th e eli ch a rge sli ght , and practi ca ll y odourl ess. The b itch was fr q uentl y an d co pi ou sl.v irriga t ed , a nd recei1·ed num erous ini ec tions of pituritin in t ramu scul a rl y . E a r!1· in J) eccmber a radiog raph was take n which re,·ealrd the objec t to be th e missin g h ead of th e firs t born . 1-urth er a tt empts werr made a t ins trum ent a l del ivery , ctnd as t hese proved
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THE VETERINARY JOURNAL
unsuccessful , the owner's con sent was obtained to open the abdomen . The suggested operation was to pass the head backwards, with the fi ngers in the abdomen, h oping that it might b e grasped in the forceps and so ext racted . The bitch was most valuable as a brood-bitch , and it was highly desira ble to presen ·e her for that purpose. On exploration the uterin e horn was found to be collapsed upon the freta! head and firml y adherent to it . It was within the left cornu immediately b ehind the poin t of entrance into the body of th e uterus. The whole horn and ovary on this side was thickened and inflamed . The on ly procedure likely to preserve the patient as a brood-bitch was to remove the left cornu , with its ovary . The sm all space which occurred between the fretal head and the body of the uterus gave the opportunity to apply an occluding ligature. On severing here there was a very offensive odour and a septic stump seemer\ inevitable. An attempt to sterilize this was made by li ghtl y cauterising with blunt-pointed scissors h eated in a fl am e. The bitch showed prac tically no a fter effects of this rather heroic interferen ce, and was asking fo r food within twenty-fourh ours. I advised that she should be given a y ear '~ rest b efore attempting to breed from lwr again , a nd I sh all awai t the event with som e anxiet v. This case gave occasion for team work. Mr . O!lerhead , M.H..C.V.S .. first saw th e bitch , Mr. Stainton , F.R. C.V.S., diagnosed the i reta l head , and was responsible for the radiograph , and Mr. George Rohb . M.R C.V .S. , was th e ~ n ::est h e tis t and generally assisted me.
translation Cancer of the Spleen in the Dog.* (Sarcoma of the Fusiform Cells.)
By DR. V. BALL and L. AUGER. Generalisation to the Liver and Mesentery. l l'i ma n can cer of the spleen is mos t often secondary. Primary ca ncer of this orga n is exceptional. It is the same with animals. In the spleen one may encounter, in animals as in man , secondary n uclei of all th e m aligna n t tumours of other organs and most often several seconda ry nuclei exist. Primary can cer of th e spleen is always a sarcoma or a lymphosarcoma. Primary epithelioma of this viscus does n ot exi.st for the nature of this organ is exclusively conjunctive. * i?evue Veterinaire , jan . 1 928.
131
loose a nd kicked se1·era l ot her;;. a nd t he nex t da1· t he ma re in question was found to he splas hed \\·ith blood ru nnin g from t he v ul va. This gan· ri ~e to fears of abo rti on. :\[oreol·c r. oth er a la rming symptoms -uppo rted th is 1·iew : T empera ture !)!)· 2° F. (35 · I o C. ) : di scolora tion <>f thl' mtt ro us membran es: si011· pul se; ferbl e b loody mi cturition , the urin e co nta inin g numcrn u'i clots of blood ; several ecchy moses .tccompani cd by cl iHu sed ('edema; and an ex treme sensitiveness in the rig h t lumba r reg ion : a ll poin ti ng to injury on this side, with th e possib ili t1· of ih ha1· ing e-..: tcnd ed to th e k id neY and leadin g t hcemo rr hag ic ne phriti s. Tlw mart' w a~ trea ted with campho rated oil , ad renaline, a n gelat ini ·cd ,;(' rum . a n I in a few days showed 'iO much cha nge for th bet ter tha t within three " ·eek,; a d efinit f.' cure had been effr cted wit hout a hor tion .
An Interesting Excision of one Uterine Horn after F retal Retention. By GUY SUTTON, F.R.C.V.S., A'ensin[!.lou. f. ondon, W .
.-\ 1'.\L l'.·\ BLE bu ll -hi tch 11·as brough t in to h ospital in Aug us t for :tssistance at par turition. S he h ad been in la bour m any hours and had produced one p uppy. minus its head. Later in the clay , or ra ther c a rl~ · next morn ing . three more dead puppi es were del ivered with forceps. Th e possibilit1· of one of t he heads bei ng till reta ined was cl iscu'isccl. It co uld no t be felt, a nd it was ass umed that the bitch had in some 11·a\ · detac hed i t in her endea 1·ours t o d eli ver. She ra pidl y recon· red fro m her o rd ea l, put on fl esh , and was very well , with the except ion of ct thin vagin a l d ischarge . Tn Nove mber s he came under inspec ti on aga in. .'\ body t he size of a la rge walnut co uld be fe lt throug h t he a bdomin a l 11·a ll. and with th e fin ge r in the 1·agina the ~a me body coul d b\: felt , bu t a lways co1·crcd with mucous mem brane. l t could a l:;o be g ra s ped 11·ith forceps. but gave th e same feel to t he to uch ; th <' impre · ion recei1·ecl suggest ing t hat th e forceps were in one co rnu and th e obj ec t in t he oth er. Greatly n a ring, th e obj ec t 11·as gently squeezed with a :;mall pair of parturiti on forceps. It was :i li g htl y co m pressable. She still rem a in ed well , th e eli ch a rge sli ght , and practi ca ll y odourl ess. The b itch was fr q uentl y an d co pi ou sl.v irriga t ed , a nd recei1·ed num erous ini ec tions of pituritin in t ramu scul a rl y . E a r!1· in J) eccmber a radiog raph was take n which re,·ealrd the objec t to be th e missin g h ead of th e firs t born . 1-urth er a tt empts werr made a t ins trum ent a l del ivery , ctnd as t hese proved
132
THE VETERINARY JOURNAL
unsuccessful , the owner's con sent was obtained to open the abdomen . The suggested operation was to pass the head backwards, with the fi ngers in the abdomen, h oping that it might b e grasped in the forceps and so ext racted . The bitch was most valuable as a brood-bitch , and it was highly desira ble to presen ·e her for that purpose. On exploration the uterin e horn was found to be collapsed upon the freta! head and firml y adherent to it . It was within the left cornu immediately b ehind the poin t of entrance into the body of th e uterus. The whole horn and ovary on this side was thickened and inflamed . The on ly procedure likely to preserve the patient as a brood-bitch was to remove the left cornu , with its ovary . The sm all space which occurred between the fretal head and the body of the uterus gave the opportunity to apply an occluding ligature. On severing here there was a very offensive odour and a septic stump seemer\ inevitable. An attempt to sterilize this was made by li ghtl y cauterising with blunt-pointed scissors h eated in a fl am e. The bitch showed prac tically no a fter effects of this rather heroic interferen ce, and was asking fo r food within twenty-fourh ours. I advised that she should be given a y ear '~ rest b efore attempting to breed from lwr again , a nd I sh all awai t the event with som e anxiet v. This case gave occasion for team work. Mr . O!lerhead , M.H..C.V.S .. first saw th e bitch , Mr. Stainton , F.R. C.V.S., diagnosed the i reta l head , and was responsible for the radiograph , and Mr. George Rohb . M.R C.V .S. , was th e ~ n ::est h e tis t and generally assisted me.
translation Cancer of the Spleen in the Dog.* (Sarcoma of the Fusiform Cells.)
By DR. V. BALL and L. AUGER. Generalisation to the Liver and Mesentery. l l'i ma n can cer of the spleen is mos t often secondary. Primary ca ncer of this orga n is exceptional. It is the same with animals. In the spleen one may encounter, in animals as in man , secondary n uclei of all th e m aligna n t tumours of other organs and most often several seconda ry nuclei exist. Primary can cer of th e spleen is always a sarcoma or a lymphosarcoma. Primary epithelioma of this viscus does n ot exi.st for the nature of this organ is exclusively conjunctive. * i?evue Veterinaire , jan . 1 928.