Case of successful deligation of the subclavian artery for the cure of a large axillary aneurism / by William Pirrie.

  • William Pirrie
Date:
[1858]
Catalogue details

Licence: Public Domain Mark

Credit: Case of successful deligation of the subclavian artery for the cure of a large axillary aneurism / by William Pirrie. Source: Wellcome Collection.

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    OF SUCCESSFUL DELIGATION OF THE SUBCLAVIAN ARTERY, FOR THE CURE OF A LARGE AXILLARY ANEURISM. By WILLIAM PIRRIE, F.R.S.E. REGIUS PROFESSOR OF SURGERY IN MARISCHAL COLLEGE AND UNIVERSITY, ABERDEEN. ' ' > ' [REPRINTED FROM THE EDINBURGH MEDICAL JOURNAL, MARCH 1858.] On the 26th of December, I was requested by my colleague, Pro¬ fessor Ogston, to visit a patient, who, three days previously, had applied to him for advice, in consequence of having a swelling, which Professor Ogston believed to be caused by a large axillary aneurism. The patient’s history of his case was, that he had felt uneasiness in front of his lift shoulder for several months ; that on the 12th of November the parts in that region were suddenly and violently strained ; that on the 26th of November, while in the discharge of his duty as a criminal officer, and endeavouring to secure a prisoner, he was in a severe struggle violently dashed upon the ground; that he felt excruciating pain in his arm-pit while falling, and when he fell, received on the front of his shoulder the whole weight of the person he was attempting to secure; that he became quite sick from the violence of the pain ; that he was unable to move his arm for three or four days, and very soon discovered swelling and pulsation in his arm-pit. I found the patient to be a man of sanguine temperament, about fifty-one years of age, whose habit of body was full, approaching to obesity, and his neck short and thick. The swelling was of an oval form, pretty distinctly circumscribed, and extended from the axilla to near the clavicle, which was considerably pushed upwards, and could not be pressed downwards without causing uneasiness. By extending both downwards and forwards, the swelling had caused the hollow in the axilla to disappear, and its anterior fold to rise forwards. The swelling was slightly compressible ; it had a