North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
A Prussian soldier was wounded over the femoral artery by a musket ball.
No haemorrhage ensued, and the wound cicatrized. In this state, M. BONNET
visited him for a mortification of the foot of the same limb, which had
been frozen. Amputation of the leg was performed, the stump healed
readily, and in 12 days the ligatures came away. On the 13th day, (being
six weeks since wounded in the thigh,) the patient perceived a tumour at
the original cicatrix on his thigh, which had appeared during the
preceding night. On the 14th, it had enlarged to three times its former
size: it was painful; fluctuation was evident; but there was no
pulsation, not even the thrilling noise, which is evident in the last
stage of aneurism. A consultation was called, to determine whether it
was an abscess or an aneurism. The question could not be satisfactorily
answered, and it was determined to open it, after having made the
necessary arrangements to secure the artery, should the tumour prove
aneurismal. As soon as the integuments were punctured, the jet of blood
evinced the nature of the complaint; and the artery was secured by
ligatures above and below the tumour. The coagula were numerous, and the
superficial ones, quite hard and cartilaginous. The patient did well,
and there was every prospect of his recovery on the 1st day, when M.
BONNET was forced by the movement of the armies to leave him at Meaux.
Such are the facts, from which the Reporter infers, that the aneurism
consisted of a protrusion of the internal and middle coats of the
artery. The _reasoning_, founded on them, appears to us inconclusive;
but we have not space to insert it, and must refer to the March No. of
Le Propagateur des Sci. Med.
54. _Extirpation of the Two Dental Arches, affected with
Osteo-sarcoma._--Dr. GIORGI REGNOLI, physician at Pesaro, performed this
operation on a female 35 years of age, who had from infancy, been
troubled with pain and diseases of the teeth and jaws. When Dr. R.
visited her, both dental arches were enormously swelled; red and
sanguineous tumours had formed over their whole surface, and covered the
teeth. The alveolar processes were entirely softened. The diameters of
the mouth were greatly lessened; but by the touch, it was evident, that
the disease was confined to the alveolar processes of the two ossa
maxillaria. A foetid odour exhaled from the mouth. Lancinating pains
continually tormented the patient; especially on attempting to
masticate. The slightest touch was very painful, and was always followed
by an effusion of blood. There was also an alteration of voice; a
disgusting deformity of the mouth, with emaciation, fever, &c. The
operation was performed on the 18th May, 1825.
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