File:Annals of surgery (1885) (14587120920).jpg

Identifier: annalsofsurgery31philuoft (find matches)
Title: Annals of surgery
Year: 1885 (1880s)
Authors:
Subjects: Surgery
Publisher: Philadelphia Lippincott
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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ny by Schultz (^Centralblatt filr Chi-rtirgie) in one mild case which recovered. LIGATION OF THE FIRST PORTION OF THE SUBCLAVIANFOR ANEURISM, WITH SPECIMEN, Dr. Fred. Kammerer presented a specimen from a man of forty-eight years, who had contracted syphilis years before. He first noticeda swelling over the left clavicle about half a year ago. When operatedon at the beginning of October, he had a well developed pulsating ;72 NEW YORK SURGICAL SOCIETY. aneurism of the first portion of the left subclavian artery. The tumorwas about the size of a mans fist, and was partly covered by the leftsternomastoid muscle and clavicle, appearing at the angle formed bythem in the supraclavicular space. On October i8 the left subclavianartery was ligated one inch from the arch of the aorta, after partialresection of both clavicles, the manubrium sterni, and the sternalend of the left first rib. Even then great difficulty was experiencedin passing chromic acid catgut ligatures around the vessel. Pulsa-
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FiG. I.—Sarcoma of the shoulder. tion in the aneurism and left radial artery ceased immediately. Every-thing went well for the first three weeks, when oozing began from apoint of the granulating surface corresponding to the resected end ofthe left clavicle, at the same time the temperature began to go up.The oozing continued for a little over a week, and the patient was be-ginning to show the effects of this continual loss of blood, when hesuccumbed to profuse haemorrhages on the thirtieth day after operation. SARCOMA OF THE SHOULDER. 373 At the autopsy it was seen that the ligature had not been entirelyabsorbed, and that the vessel had given way at the point of its appli-cation. There was no indication of a thrombus in the part lying be-tween the ligature and the arch. In the aneurism itself a thick massof coagulum was deposited on the entire interior surface. SARCOMA OF THE SHOULDER. Dr. Charles L. Gibson presented a specimen removed, post-mortem, from a man fifty-eight years old,

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