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Obstinate Constipation Caused by Calculus : Removal and Recovery
A Porc'z"ne Monslrosz"ty.
34 1
OBSTINATE CONSTIPATION CAUSED BY CALCULUS: REMOVAL AND RECOVERY. BY
J.
H. CARTER, F.R. C.V.S., F.R.S.E. , BURNLEY.
ON March IS last I was summoned to attend an eight-year-old mare, and upon arrival found her showing symptoms of violent abdominal pain. She was tympanitic, with a temperature of I03° and pulse 84. I operated in the flank with a trocar and cannula, much to the comfort of the animal, and administered 3 drachms of aloes, together with a dose of belladonna and oil and a hypodermic injection of morphia. The lower bowel was empty, and I gave a glycerine enema, applying hot bags to the abdomen. A few hours afterwards belladonna and oil were given to ease the pain. March I6.-The temperature was 104°, pulse g6, and the mare much about the same except that she was in less pain. I gave three more drachms of aloes and a dose of. eserine hypodermically. On the following day there had still been no action of the bowels, and the rectum .was perfectly ~mpty. The belladonna and oil medicine was continued during this day, together with enemas of linseed oil, soap, and water. On the I8th the animal appeared to be getting exhausted, and being again tympanitic I removed the gas with the trocar and cannula. Upon exploring the rectum I could now feel a calculus with the extreme tips of my fingers, and upon further manipulation after some considerable effort I managed to get a portion of it between my thumb and fingers. It appeared to be embedded in the mucous membrane, and during one of the violent straining efforts a portion of it crumbled into my hand. Eventually I got the whole of it away, and then flushed the parts . 'Yith tepid water by means of a Reid's pump, thus getting rid of all the debris. I smeared my hand with carbolised oil, and appliedit as well as possible to the erosions of the mucous membrane. · The mass must have weighed, with adherent together, more than 2 lbs., and was distinctly an oathair calculus. When I saw the mare again at night she was quite easy and free from pain, and had taken a little sloppy food for the first time since the I 5th ; there had, however 1 been ' no action of the bowels. March Ig.-The temperature was now I20° and the pulse 52, the mare was purging, and matters were progressing as satisfactorily as could be expected. Between now and the 26th the mare lost flesh rapidly and became almost a scare-crow in appearance, but under good food and tonics she afterwards commenced to pick up, and about a month later had sufficiently recovered to be sold by auction.
all
A PORCINE MONSTROSITY. BY DONALD _.GREGORY 1 F.R.C.V.S., LONDON, N.
THE photograph herewith represents a monstrosity which I obtained some little time ago, arid which I thought might be interesting to the readers of the Journal. The sire and dam were pure-bred Berkshire pigs, and in no way
34 1
OBSTINATE CONSTIPATION CAUSED BY CALCULUS: REMOVAL AND RECOVERY. BY
J.
H. CARTER, F.R. C.V.S., F.R.S.E. , BURNLEY.
ON March IS last I was summoned to attend an eight-year-old mare, and upon arrival found her showing symptoms of violent abdominal pain. She was tympanitic, with a temperature of I03° and pulse 84. I operated in the flank with a trocar and cannula, much to the comfort of the animal, and administered 3 drachms of aloes, together with a dose of belladonna and oil and a hypodermic injection of morphia. The lower bowel was empty, and I gave a glycerine enema, applying hot bags to the abdomen. A few hours afterwards belladonna and oil were given to ease the pain. March I6.-The temperature was 104°, pulse g6, and the mare much about the same except that she was in less pain. I gave three more drachms of aloes and a dose of. eserine hypodermically. On the following day there had still been no action of the bowels, and the rectum .was perfectly ~mpty. The belladonna and oil medicine was continued during this day, together with enemas of linseed oil, soap, and water. On the I8th the animal appeared to be getting exhausted, and being again tympanitic I removed the gas with the trocar and cannula. Upon exploring the rectum I could now feel a calculus with the extreme tips of my fingers, and upon further manipulation after some considerable effort I managed to get a portion of it between my thumb and fingers. It appeared to be embedded in the mucous membrane, and during one of the violent straining efforts a portion of it crumbled into my hand. Eventually I got the whole of it away, and then flushed the parts . 'Yith tepid water by means of a Reid's pump, thus getting rid of all the debris. I smeared my hand with carbolised oil, and appliedit as well as possible to the erosions of the mucous membrane. · The mass must have weighed, with adherent together, more than 2 lbs., and was distinctly an oathair calculus. When I saw the mare again at night she was quite easy and free from pain, and had taken a little sloppy food for the first time since the I 5th ; there had, however 1 been ' no action of the bowels. March Ig.-The temperature was now I20° and the pulse 52, the mare was purging, and matters were progressing as satisfactorily as could be expected. Between now and the 26th the mare lost flesh rapidly and became almost a scare-crow in appearance, but under good food and tonics she afterwards commenced to pick up, and about a month later had sufficiently recovered to be sold by auction.
all
A PORCINE MONSTROSITY. BY DONALD _.GREGORY 1 F.R.C.V.S., LONDON, N.
THE photograph herewith represents a monstrosity which I obtained some little time ago, arid which I thought might be interesting to the readers of the Journal. The sire and dam were pure-bred Berkshire pigs, and in no way