A calcified and cured aneurysm of the right renal artery in a boy / by H.L. Barnard.

  • Barnard, Harold Leslie, 1868-1908.
Date:
1901
Catalogue details

Licence: In copyright

Credit: A calcified and cured aneurysm of the right renal artery in a boy / by H.L. Barnard. 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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    lleprinted from the ‘ Transactions of the Pathological Society of London,' 1901. A calcified and cured aneurysm of the right renal artery in a boy. By H. L. Barnard. Clinical history.—A little boy, aet. 9, was admitted to the London Hospital on Saturday afternoon, May 11th, 1901. His father was going home from work, and the little lad was riding one of two horses bareback when they ran away, and he fell heavily to the ground on his back and right side. He was blanched and in a state of collapse when admitted to the hospital. He complained of great pain on the right side, but there was no sign of broken ribs. On the following day it was clear that there was much blood in the peritoneum, and as distension was rapidly increasing he was operated on. About a pint and a half of black fluid blood was removed from the peritoneum by sponging, and a rent in the right lobe of the liver was found and packed. On the following day he was very restless, and vomited about a pint of altered blood, which at the time was regarded as post- operative hasmatemesis. Soon after this he died somewhat suddenly. Post-mortem.—The peritoneum was found free of blood except about an ounce in the pelvic pouch, and a little more in either loin. The intestines were pale and distended with gas. The stomach and duodenum were removed and opened. The former contained a little blood and bile, but no sign of the point from which the hgemorrhage had occurred. In the second part of the duodenum three or four punctate hasmorrhages were found, limited to a small area. The liver was examined next. On the upper and right sur- face a lacerated area was found roughly circular in form, and about three inches in diameter. In the centre of this area was a ragged cavity leading into the liver substance half an inch. There was a large quantity of blood-clot between the right lobe of the liver and diaphragm. When the liver was removed from the body and its under