A case of aneurism, presenting some peculiarities; with remarks / [Prescott Gardiner Hewett].

  • Hewett, Prescott (Prescott Gardiner), Sir, 1812 or 1813-1891.
Date:
1846]
Catalogue details

Licence: Public Domain Mark

Credit: A case of aneurism, presenting some peculiarities; with remarks / [Prescott Gardiner Hewett]. Source: Wellcome Collection.

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    and all pulsation in the tumour ceased immediately. The operation was followed by peritonitis, which was treated with small blood-lettings, and calomel and opium. The inflamma¬ tory symptoms soon put on a typhoid character; the wound, which had partially healed, was opened, and a quantity of sanious putrid matter evacuated. Subsequently it was found necessary, on account of his previous habits, to give him wine, &c., and, under this treatment, he gradually rallied from this severe attack. With the exception of some slight ailments, he went on improving; the ligature came away, without any mischief, on the 25th day after it had been applied; the tumour in the groin became solid, and gradually decreased in size; the wound healed, and he was discharged from the hos¬ pital on the 14th of August, cured. At the latter end of November, he was re-admitted into the hopital, on account of a return of slight pulsation and a whirring sound in the tumour, which had again slightly in¬ creased in size. He stated that, after leaving the hospital, he had returned to his work, and that everything had gone on well, until the beginning of this month, when the pulsation began to make its appearance. Sir B. Brodie ordered pres¬ sure to be tried : the patient was accordingly confined to his bed; some graduated compresses were applied over the tumour, the whole limb carefully bandaged, and a figure of 8 bandage was passed round the pelvis and the upper part of the thigh. This plan of treatment was pursued for two months, at the end of which time all pulsation and sound again disappeared, and the patient was shortly afterwards once more discharged from the hospital. He was seen again in November 1841, when it was found that there was a slight recurrence of the pulsation; as the tumour had not, however, increased in size, no plan of treat¬ ment was adopted. In January 1842, when seen again, the tumour was ob¬ served to have increased in size, but no pulsation whatsoever could be detected in it, even after a most careful examina¬ tion.