Four cases of gangrene / by Albert Vander Veer and Edgar A. Vander Veer.

  • Vander Veer, A. (Albert), 1841-1929.
Date:
1904
Catalogue details

Licence: In copyright

Credit: Four cases of gangrene / by Albert Vander Veer and Edgar A. Vander Veer. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    applying the usual tests, one-half albumin. This latter con- dition increased in a few days to an almost solid precipitate. January 26, labor pains came on and in a few hours she was delivered of a stillborn child. The placenta was a marked example of fatty degeneration, and, apparently, came away complete. For several days following delivery nothing unusual occurred, and there was every prospect of a speedy recovery. February 2, one week after delivery, she had an attack of dyspnoea, so severe that it was necessary to set her up in order to breathe. Her temperature was several degrees above normal, pulse accelerated, and crepitation over a part of both lungs, but at no time positive evidence of solidifica- tion. The dyspnoea and other unpleasant symptoms yielded promptly to treatment. February 5, the right arm became suddenly blanched; there was an absence of the radial pulse, and other symptoms of obstruction of the brachial artery, near the axilla. In a few days a line of demarcation formed between the elbow and the wrist, with sluggish circulation nearly up to the shoulder. As there was danger of septic absorption, with its attendant unfavorable symptoms, it was deemed advisable not to defer amputation. February I I, Dr. Edgar A. Vander Veer was called to see the case in consultation with Dr. Beach. At that time the fingers were gangrenous and a line of demarcation could be made out just below' the .elbow-joint. The whole arm, however, was oedematous. The pulse was 110, of a fair quality; temperature 101.2'. The patient was weak and emaciated and not in the best possible condition for an operation. Amputation, however, was advised, and assisted by Doctors Beach, Van Slyke and James N. Vander Veer, amputation was done through the upper third of the arm. Upon removing the Esmarch there was hardly any bleed- ing from the flaps, and the vessels, even at this high point, seemed thrombosed. The patient stood the operation well and came out from under the influence of the anaesthetic without any unfavorable symptoms. She began to improve speedily and March 24, there was almost complete union of the flaps. There is almost complete disappearance of the cough and other pulmonary symptoms. November 1, 1903,