On gunshot wounds of arteries, traumatic hemorrhage, and traumatic aneurism / by John A. Lidell.

  • Lidell, John A.
Date:
1863
Catalogue details

Licence: Public Domain Mark

Credit: On gunshot wounds of arteries, traumatic hemorrhage, and traumatic aneurism / by John A. Lidell. 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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    ON GUNSHOT WOUNDS OF ARTERIES, TRAUMATIC HEMORRHAGE AND TRAUMATIC ANEURISM. BY JOHN A. LIDELL, M. D., A$^ SURGEON U. 8. VOLUNTEERS, PROFESSOR OF ANATOMY IN THE NATIONAL MEDICAL COLLEGE, WASHING Mh^U BRA m- CASE I. Gunshot ivound dividing the axillary artery, and injuring the brachial plexus of nerves, of the left side, circumscribed trau- matic aneurism occurring on the twenty-first day, ligature of tJie subclavian external to the scalenus, death forty-six days afterwards from exhaustion. Capt. John F. Jordan, Company B, 13th Virginia Cav- alry, (rebel,) aged 31 years, and of sound constitution, was admitted to Stanton Hospital June 23, 1863. He had been wounded two days before, (June 21,) in action near Middle- burgh, Va., by a shot from a carbine. The bullet, which, by the way, was conical in shape, penetrated the pectoralis major muscle of the left side, at a point on a level with the axillary artery, and about one and one half inches from the margin of the arm-pit, passed directly backwards beneath the shoulder, wounding the axillary artery together with the brachial plexus of nerves, and escaped behind. Patient said he lost a great deal of blood immediately after the wound was inflicted, so much indeed that he fainted, when the hemorrhage ceased, and had not since returned. On admission to hospital his left arm exhibited some swell- ing cedematous in character, and its inner side was ecchy- inosed nearly down to the elbow joint. It was also paralyzed, the loss of both sensibility and mobility being complete. There was no radial pulse in that arm, and pulsation could not be detected in the brachial or any other artery thereof. From this we inferred that the axillary artery had been severed by the bullet. The temperature of the limb was not below the normal standard : on the contrary, we thought it to be some- what warmer than the limb of the opposite side. There was