The patient was fifty-six years of age, unhealthy, and intemperate for many years. The tumor was of three or four months' duration ; and rapidly increasing, during the last three weeks, with severe pain. Swelling of the limb also came on soon after the appearance of the tumor. On the second night he got out of bed in a fit of delirium, and on the following day he died, about fifty-four hours after the operation. (Med. Jour. Vol. xv. p. 309 ; and Hospital, 15, 82.) 1847. ' Dr. J. C. Warren.
1808. Thibert's model. " Aneurism of the inguinal artery in a child twelve years old," but with every appearance of a de- fined abscess. 1847. Dr. G. Hayward.
1809. Aneurism of the inguinal artery and ligature of the iliac.
The patient, a watchmaker, set. thirty-two, and previously quite healthy, got a severe cold on the 15th of Sept., 1867, followed by constitutional symptoms. Dec. 10th he had cramp in the leg ; afterward pain in the groin ; and on the 14th a swelling there. On the 31st swelling seemed to give way in the groin, with a snap ; the pain and swelling increased at once, with numbness 'down the leg, and a thrilling pulsation in the tumor. This last went on increas- ing ; and, when he entered the hospital (134, 144), on the 6th of Jan., it was of an ovoid form 8 by 5 in., and thrilled strongly. There were lancinating pains throughout the limb, and insensibility from the ankle to the lower part of the thigh. Jan. llth the external iliac was tied by Dr. B. On the 18th the patient began to sink, and on the 26th he died.
The original aneurismal cavity seemed to have been about the size of an English walnut ; and the opening into it was \\ in. below Poupart's ligament, and 3 or 4 lines in extent. The sac having burst, there was found an effusion of nearly xi. of coagulated blood and fibrine into the surrounding parts, and as low as the middle of the thigh.
A very handsome dissection has been made by Mr. H. H. A. Beach, one of the house-pupils, of the diseased artery and its relations ; and the preparation is shown in spirit. 1868. Dr. H. J. Bigelow.
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