On a variety of false aneurism / [Read to the Royal Medical and Chirurgical Society, March 8th, 1842].

  • Liston, Robert, 1794-1847.
Date:
[1842]
Catalogue details

Licence: Public Domain Mark

Credit: On a variety of false aneurism / [Read to the Royal Medical and Chirurgical Society, March 8th, 1842]. Source: Wellcome Collection.

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    evacuated, and into which biood is afterwards poured, so as to distend the sac enormously, the surgeon may perhaps, for a time, be led to think that the bleeding is from some inconsiderable branch, and may only at last be convinced of the danger to which his patient is exposed, after re¬ peated haemorrhages have taken place from the opening. Perhaps the blood escapes at first from a minute aperture in the vessel, and drains but slowly into the cyst. It coagulates, and by slight pressure on the opening, the flow is arrested. But as the ulceration extends and the opening en¬ larges, or as the patient rallies and the circu¬ lation becomes energetic after each renewal of haemorrhage, the bleedings occur more frequently, and in a more alarming way, and cease only upon the patient falling into a state of complete syncope, or upon accurate pressure being made over the trunk of the vessel from which the blood is flowing, at a distance from the disease. The first case, the par¬ ticulars of which I shall detail from the records of the house, occurred a short time since in University College Hospital. Case /. —G. A., aet. nine, had been a healthy infant, but about six years ago he suffered from severe illness, and was left in a very reduced state. About two months back he had a violent cough, together with considerable fever; at this time a small swelling was first observed in the neck, immediately below the right ear; this was merely fomented and poulticed. It increased gra-