Two interesting surgical cases / by Claudius H. Mastin.

  • Claudius H. Mastin
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Two interesting surgical cases / by Claudius H. Mastin. 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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    W. Y., white, aged thirty-two years, of good physique, born in Mobile County, Ala., a farmer by occupation, and residing sixteen miles from the city of Mobile, was shot on the morning of September 24, 1894, from an ambush, the weapon used being a 38-caliber Winchester rifle, and the distance, as afterward measured, 110 yards. The one who did the shooting was an expert marks- man, and placed the ball in the rear of the chest, on the left side just below and to the outer side of the angle of the scapula, at which point it entered the chest between the seventh and eighth ribs, passing through the entire chest and emerging from the intercostal space between the fourth and fifth ribs, 2inches from the left nipple. The exact measurement of this man shows that the dis- tance from the midsternal line, in a transverse direction, to the center of the left nipple is 4^ inches. A line drawn from the wound of entrance to that of exit passes directly through the right ventricle, and upon this anatomic location it is not possible for the heart to have escaped direct penetration. Upon the reception of the wound the man did not fall, but walked about twenty steps, and then, feeling very weak and profuse hemorrhage coming from the front wound, he sat down. His wagon was then brought up and he was taken to his house, a distance of about a fourth of a mile. He coughed only once or twice and spat up a little froth tinged with blood, but there was no hemorrhage from his mouth or the wound of entrance. Pain was intense all over the anterior portion of the chest, and collapse was complete. The shooting occurred about eleven o clock in the forenoon, and soon there- after the man was placed in a spring wagon and brought to the city, a distance of sixteen miles, over a very rough road; owing to an accident on the way he did not reach the c.ty until about seven o’clock in the evening at which time I saw him, and found his condition as fol- ows : There was little or no reaction ; the clothes were
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