Licence: Public Domain Mark
Credit: Gangrenous cellulitis of leg / by William Anderson. 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.
3/9
![Reprinted from the British Journal ok Dkumatolooy No. G4, Vol. 0.] 1*9+. GANGRENOUS CELLULITIS OF LEG. By WILLIAM ANDERSON, F.R.C.S., etc. E. B., a stoker, 42 years of age, was admitted into St. Thomas's Hospital on July 2, 1893. He was a pallid emaciated man, in a condition of great prostration, suffering from extensive gangrene of the skin over the dorsum of the foot, with inflammation and threat- ening gangrene of nearly the whole of the integument of the leg as high as the patella. The partially separated slough over the foot exposed as in a dissection the extensor tendons and anterior annular ligament, while the skin of the leg dusky red in colour, and running here and there into black, was separated from the deep fascia by a sanious pus. The condition was said to have begun three weeks previously, after an injury to the foot by the fall of a piece of iron. Inflammation set in two days later and extended up the leg. His health had always been good before the accident, and there was no history of syphilis or tuberculosis. A number of incisions were made in the leg, and a thick brown- ish offensive pus was washed out by means of a hot boracic injection. The sloughing surface was cleaned by scraping and the gangrenous skin cut away. The whole limb was then washed with a solution of perchloride of mercury (1 in 2,000), and dressed with chlorinated soda lotion applied on slips of lint, drainage tubes being inserted into several of the incisions. Three days later the tubes were removed, and plugs of lint soaked in the chlorinated soda lotion were pushed into the apertures. Further incisions were made over](https://iiif.wellcomecollection.org/image/b22380450_0003.jp2/full/800%2C/0/default.jpg)
