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

  • Robert Liston
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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    side of the pharynx, in the cellular tissue between the mucous membrane, and the muscles of the neck, was an irregular cavity, about the size of a filbert and an inch deep. This cavity or ab¬ scess, the surface of which was soft, of a bluish-grey colour and irregular, communicated by means of two ragged irregularly circular openings, one small, about this size, O, the other fully half a square inch in diameter, with a large oblong, deep cavity, which extended down the neck to the level of the collar-bone. This cavity contained a considerable quantity of dark brown coloured softened blood, of a very foetid odour, upon the removal of which, the surface appeared soft, pulpy, deep-brown, and very irregular. The cavity was in the adipose tissue forming the sheath of the vessels ; and upon gently washing its surface, it was found that the external and internal carotid were denuded on their poste¬ rior and external aspect and exposed. The trunk of the eighth pair was also found lying exposed on the exterior side of the vessels, and the hypoglossal was found passing in on the outside of the external carotid artery. A female catheter was carried from the common carotid, through the external carotid, and a probe through the internal carotid. It was then found that the latter artery presented near its divarication from the common and external carotid, on the external lateral aspect, two ragged openings, one below, just before the bifurcation, and, strictly speaking, in the common carotid trunk, and another about two lines higher up the artery,
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