Cases in surgery : Gun-shot wounds ; Plural births / by J. Mason Warren.

  • Warren, Jonathan Mason, 1811-1867.
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: Cases in surgery : Gun-shot wounds ; Plural births / by J. Mason Warren. 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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    CASES IN SURGERY. BY J. MASON WARREN, M.D. Case I.—Remarkable Tumor over the Os Fronds, containing Air.— D. B., of Manchester, N. H., applied to me for advice, November 28th, 1861. Four years before, he had received a severe blow on the forehead from a heavy branch of a tree. Great swelling ensued, and he was confined to the house for a week or ten days. The swelling gradually subsided, leaving, however, a sensation of dull pain in the part, accompanied, from time to time, by soreness and tumefaction. In July, 1861, while at work in the hay-field, he was seized with severe headache and other symptoms indicative of cere- bral disturbance. Soon after this attack, a tumor appeared over the seat of the original injury, covering nearly the whole forehead. After a great deal of suffering, a discharge of pus took place from the left nostril, affording temporary relief. Subsequently, the tumor became tense again, and was opened with a lancet, which gave vent to a small quantity of matter; a second operation resulted, as he says, in the escape of blood only. His sufferings continued to increase until the date of his visit to me. At this time they were so exces- sive, and the constitutional symptoms of such a character, as to lead him to the conviction that his case was altogether hopeless. The whole forehead was occupied by an elastic swelling, of the size of half of a large orange, partially divided in the centre by a vertical depression, caused, apparently, by the tendon of the occipito-frontalis muscle. The marginal base of the tumor seemed to be formed by an elevation of bone, about an inch high, as if the tumor had been forced out from within the cavity of the cranium, pushing the bone