Inguinal aneurism cured by tying the external iliac artery in the pelvis / by John Syn Dorsey, M.D.

  • Dorsey, John Syng, 1783-1818.
Date:
[1811]
Catalogue details

Licence: Public Domain Mark

Credit: Inguinal aneurism cured by tying the external iliac artery in the pelvis / by John Syn Dorsey, M.D. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    ; Inguinal Aneurism cured by tying the External Iliac Artery in the Pelvis. W' BY JOHN SYNG DORSEY, M. D. On the 15th of August 1811, I was consulted by Alexander ?atton,on account of a tumor in his right groin. The patient was a native of Aberdeenshire in Scotland, aged about thirty years, the last ten of which he had passed in America. He follow- ed the trade of a cooper; was accustomed to hard labour, and to athletic exercises, jumping, running and the like. He was six feet in height, of a robust but not a corpulent habit. Two years ago he perceived, for the first time, a small tumor in the right groin. Having never had the venereal, nor indeed any other disease, and not having met with any accident, he was at a loss to account for this^ appearance. From its com-, mencement it throbbed wit#'considerable violence. For a year and four months it increased very slowly; during the last eight months much more rapidly. In January it was no bigger than a walnut; in August its shortest diameter was four inches, its longest, nearly five. It occasionally gave him severe pain, and at length incapacitated him from all labour. In June last he applied to Dr. Irwin of Easton, the place of his residence, who instantly apprised him of the nature and importance ot the complaint, and advised him to come to Philadelphia. He arrived here the 14th of August, and was admitted next day into the Pennsylvania hospital. On examination, an aneurism was found, situated immedi- ately below Poupart's ligament, forming a regular tumor in the groin, nearly hemispherical, with a kind of apex, where the skin appeared extremely thin, and discolored as if by ecchymo- sis. The patient had used a good deal of exercise previously to his admission into the hospital, and had taken a drink of rum, in consequence of which his arterial system was greatly excited, and the tumor pulsatr o violently that the bed clothes were bounced up with great force. He was confined to bed; was purged, and kept to a low diet. A consultation was called: A^ ^Jbt&z? A^^*^^