Laparotomy in the treatment of spontaneous gluteal and sciatic aneurisms / by by [sic] Frederic S. Dennis.

  • Frederic Shepard Dennis
Date:
[1886]
Catalogue details

Licence: Public Domain Mark

Credit: Laparotomy in the treatment of spontaneous gluteal and sciatic aneurisms / by by [sic] Frederic S. Dennis. 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.

    19/26 (page 17)
    posture. Whenever she tried to sit down she felt a throbbing in the tumor. On admission patient is well nourished and mus- cular. Complains of heat, throbbing, and fain, but more especially of the latter, which is no longt-i localized, but shoots down toward the knee. She states that her bowels are usually constipated, but in other respects physical condition is good. Heart and lungs normal. On examination the left buttock is found to lx* considerably enlarged, the ulcer mentioned above being situated about the centre of the tumor. The veins are visibly dilated, those situated at the most dependent part of the tumor are markedly engorged, and upon gentle palpation the blood is felt surging through the vessels, which shows that a communica- tion exists between the artery and the vein. With each systole of the heart an expansile pulsation is quite evident. Upon auscultation a very loud bruit is heard, which follows closely upon the first sound of the heart. Examination by the abdominal wall and rectum negative. Aug. j>~. Potassx iodidi grs. xv t. i. d.; Jiq. morph, n. s. si, when netded. SWpt. 7. Examination of urine negative. Pil. coke. co. iij. Light breakfast. 8th. Patient etherized. Abdomen thoroughly cleansed and shaved. An incision was made in the median line, starting at the umbilicus and extend- ing downward to within two inches of the symphysis. Having dissected down to the peritoneum, all the vessels that required attention were ligatured. The peritoneum was now lifted up and snipped, a director being introduced, the membrane was divided upon it. The incision was not at first extended beyond