Cases in surgery : Gun-shot wounds ; Plural births / by J. Mason Warren.

  • Warren, Jonathan Mason, 1811-1867.
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: Cases in surgery : Gun-shot wounds ; Plural births / by J. Mason Warren. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    sue. This was followed by quite free bleeding, requiring the appli- cation of ligatures to one or two large arteries; the bleeding which occurred from the smaller vessels was checked by the use of a so- lution of perchloride of iron. On the 25th of May, the scab formed by the last application separated, leaving a healthy granulating sur- face. This healed kindly. Some weeks later, there being a suspi- cion of a slight erectile tissue remaining in a portion of the skin, I excised it, which finished the cure. This case is interesting, first, from the large size of the erectile tumor; secondly, from the great calibre of the principal vessels which supplied it; thirdly, from the immunity from unhealthy action in the skin, notwithstanding the great amount of that tissue implicated in the ligatures. The parotid gland at one time was certainly irri- tated, and the straining of the whole scalp caused a certain amount of swelling and an approach to oedema, but there was never any- thing like erythema, and but little constitutional disturbance. There is but little doubt that if the tumor had gone on much longer un- checked, the vascular system of the scalp would have become so implicated as to make any attempt to relieve the patient by opera- tion unavailing. Case III.— Gun-shot Wound, cutting off the Vertebral Artery.— Cornelius Mahoney, 11 years of age, was brought into the Hospital on the 27th of May, 1861, having received the charge of a pistol, loaded with stones, accidentally discharged by a companion. One of the stones grazed his forehead, a second struck him on the cheek, and the third penetrated the neck about half an inch below the mastoid process. He received the charge while in a stooping posture, and was taken up bleeding profusely. When brought into the Hospital the bleeding was nearly checked; water dressings were applied, and the patient kept very quiet. I saw him on the following morning, and as there was a disposition to haemorrhage, the patient was etherized, with the object of removing the foreign body, if there was one, and checking the bleeding. A finger passed into the wound penetrated deep into the neck, and finally encountered what at first appeared to be a mass of gravel; a portion, however, being removed with the forceps, showed it to be bone, and what afterwards proved to be the transverse process of the second or third cervical vertebra. The haemorrhage now returned violently, and but little doubt existed that the vertebral artery had been cut off. A systematic