Volume 1

Catalogue of the Pathological Museum of St. George's Hospital / edited by John W. Ogle and Timothy Holmes.

  • St George's Hospital (London, England). Pathological Museum.
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: Catalogue of the Pathological Museum of St. George's Hospital / edited by John W. Ogle and Timothy Holmes. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    34/896 (page 28)
    62. Fracture of Five Ribs; from a patient who was admitted into the Hospital in 1834, and who had received a kick from a horse, which ruptured the liver and produced almost immediate death. 63. Fracture of several Ribs. Presented hy C^SAR Hawkins, Esq. 64. Fractui-e of the Cartilage of the Ninth Rib, with extensive lacera- tion of the Intercostal Muscle between the eighth and ninth ribs; from the body of a young man, aged 20, who was admitted into the Hospital shortly after he had been struck, on the right side of the chest, by the shaft of a heavy cart. At the time of his admission he was in a perfect state of collapse, and appeared to be suffering from internal haemorrhage; he died ten minutes after his admission into the Hospital. The skin in the neigh- bourhood of the injury was but slightly bruised, with an abrasion on its surface: there were no other external marks of violence. A small quantity of blood was found in the cavity of the right pleura, but the lungs were quite healthy. The diaphragm presented, in its structure, a few patches of ecchymo- sis. An extensive rupture of the liver had given rise to fatal haemorrhage into the belly. 65. Portions of three Ribs, from the anterior part of the left side of the chest, one of which was fractured by the passage of a pistol ball. On post mortem examination, it was found that the wound of the chest passed outwards from a point about two inches above the left nipple to the third rib, which was shattered. The left pleural cavity contained a quantity of coagulated blood, and the pleura on this side was covered by a thick coating of dark coloured lymph. The upper lobe of the left lung was found to have been pierced by the bullet about four inches from its apex, and about an inch and a quarter from its left margin. The opening in the lung passed downwards and outwards, and terminated in the upper lobe, at the fissure between it and the lower one, about an inch a half from the margin. The bullet must then have grazed the extreme margin of the lower lobe, the wound at that part being merely covered by a layer of pleura. The lung in the immediate neighbourhood of the wound was firm and consolidated, owing to the effusion of blood and fibrin. Both lungs contained large quantities of diffused tubercle, particularly at their upper parts. The fifth rib, was comminuted about three inches from its posterior ex- tremity, and is shown in the next preparation, and the scapula is preserved in this Series, No. 215. The serratus magnus and subscapularis muscles were pierced, and the scapula perforated just below the triangular surface, near the base of the spine of that bone. The Avouud of the lung is shown by a prepara- tion in a subsequent Series. This preparation was taken from the body of William W., a butler, aged 40. He was admitted