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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    now and then, slight haemorrhage. Very little pain in degluti¬ tion was experienced ; nor could any appearance of disease in the tonsils or pharynx be discovered. 29th December, at eight o’clock, p.m., after no unnsual exertion, profuse haemorrhage, ot a scarlet colour, gushed from his nostrils and mouth, and in a few minutes he expired. In the morning of this day he ex¬ pressed himself much better. The tumefaction in the neck had nearly disappeared, and he experienced no uneasiness in this situation, nor in swallowing. (About eight pounds of blood were lost.) Necropsy, eighteen hours after death. (The arterial system was injected from the aorta.) On the right side, close to the base of the cranium, and in front of the vertebral column, was found an abscess, of about an inch in diameter and three inches in length ; and containing coagu¬ lated blood, and numerous fragments of the materials injected. [It extended downwards behind the pharynx, the internal carotid, jugular vein, and par vagum.] The internal carotid artery com¬ municated with this abscess by an opening capable of admitting a small bougie ; and, on the other hand, the abscess opened into the posterior part of the pharynx on a level with the inferior tur¬ binated bone of the nose, and behind the Eustachian tube. Its walls were of considerable thickness, and the adjacent lymphatic glands were very much enlarged. The small abscess over the angle of the left maxilla had no connexion whatever with the larger one through which the haemorrhage occurred ; neither had the abscess any connexion with the tonsils, which appeared quite natural. Case VII., kindly communicated by Professor William Fergusson, of King’s College. “ Between three and four years ago, in my practice in Edin¬ burgh, I was called into consultation with a professional friend, to see a child about nine years of age, which had suffered from many of the sequelae of scarlatina, with whose nature in that city, you are of course as familiar as I am. With other ailments, there had been inflammation and suppuration of some glands of