On a variety of false aneurism / [Read to the Royal Medical and Chirurgical Society, March 8th, 1842].

  • Liston, Robert, 1794-1847.
Date:
[1842]
Catalogue details

Licence: Public Domain Mark

Credit: On a variety of false aneurism / [Read to the Royal Medical and Chirurgical Society, March 8th, 1842]. Source: Wellcome Collection.

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    left side, and the sterno-mastoid muscle to the right; the carotid artery in this situation was seen uncovered by the glands. The external jugular vein was found to cross the mastoid muscle in the ordinary situation, being about half an inch internal to the puncture, which was through the posterior fibres of the muscle. Just opposite to the angle of the jaw lay another enlarged lymphatic gland, some¬ what larger than any that have been mentioned, and extending partly under the sterno-mastoid muscle. The whole of these parts were firmly matted together by a dense deposit of lymph. The clavicle was now cut through at about its external third, and the upper portion of the sternum was removed. The sterno- mastoid was then dissected upwards, but was found to be firmly adherent, at the point of puncture, to the tissue beneath. A portion was therefore left at this part, and the remainder of the muscle, into the substance of which a considerable quantity of blood hadbeen effused, was removed. The enlarged glands, the sterno-hyoid and thyroid muscles, together with the deep fascia, were then removed, and theinnomi- nata, carotid, and sub-clavian arteries exposed. The ligature was found to have been placed close to the origin of the carotid from the irmominata ; it was not completely separated, a small portion of the external side of the artery still remaining entire. The proximal end of the vessel was quite open, and admitted a large-sized probe; there had been no attempt at the formation of a clot, or, if any had been formed, it must have been