formed below it. The aneurismal tumor is shown at B.c. 279.
The same disease in the opposite limb had been cured by ligature
about five years before.—Sir Philip Crampton.
B. c. 2 12 . Aneurism of the popliteal artery. The tumor is
as large as an orange, and almost completely filled by a
whitish, laminated coagulum. The laminae are seen very distinctly
in the section which has been made. For the history
see B. c. 213.—Dr. Joseph Ferguson.
B. c. 213. Femoral artery tied for the cure of popliteal
aneurism. The ligature still remains connected to the vessel.
Its effects, so far, were most satisfactory. The internal and
middle coats are divided, and the upper and lower coagula are
perfectly formed. The coats of the vessel are thickened.
This was the case of a middle-aged man, who had served in the
militia. The aneurismal tumor had existed for several years
without being attended to : ultimately, a slough formed on the
surface, and hemorrhage to a considerable amount took place.
The artery was immediately tied, and the case went on most
favorably until the eighth day, when, after some unusual exertion
on the part of the patient, the bleeding from the tumor
recurred, and he died in a few hours. The quantity of blood
lost on the latter occasion was, by no means, considerable.—
Dr. J. Ferguson.
B. c. 214. Femoral artery tied for popliteal aneurism. The
ligature came away on the twelfth day. For history, see
B. c. 227.—Professor Colies.
B. c. 215. Femoral artery obliterated by the application of
the presse-artere in a case of popliteal aneurism. The point
at which the instrument was applied, is about three inches
below the origin of the profunda. The tube is at this part
quite impervious. The aneurism was perfectly cured, and
converted, as shown in the preparation, into a small shrivelled
mass. The patient died, a year after, of another disease.—
Thomas Hewson, Esq. v
B. c. 216. Aneurism of the external iliac artery, for the
cure of which, that vessel was tied close to its origin. The
patient died on the fourth day, of diffuse inflammation, transferred
by metastasis to the lining membrane of the left cavities
of the heart. The ligature is seen firmly tied round the vessel,
within an inch and a quarter of the internal iliac ; above
and below it, are the usual, conical coagula. In this part, the
artery is not diseased, but about an inch below it, dilatation
commences, and from that point down to the termination of the
sac, the structure resembles cartilage. Posteriorly, the vein is
shown, free, and healthy. The aneurism appears to be of the
mixed kind, the artery being dilated for about six inches in
length, and from the side of this dilatation, the proper aneurismal
tumor springs; the aperture leading into it is very large.
The whole is filled with coagulated blood.—Professor Porter.
B. c. 217. Femoral artery from a stump; its extremity is
obliterated, but the conical coagulum remains.—Prof. Kirby.
B. c. 218. Femoral artery from a recent stump, showing
the ligature still connected to it, and, the internal coagulum.
The inner surface of the vessel is thrown into numerous, transverse,
parallel folds.—Idem.
B. c. 219. Femoral artery from a stump, resembling in
every respect, the preceding preparation.—Idem.
B. c. 220. Drawing, showing an extensive extravasation of
blood among the muscles of the leg—the result of the bursting
of a small aneurism of the popliteal artery. The circumstances
of the case, and they are very peculiar, are detailed in the
Medical Press, vol. 1, p. 180. The patient, a rough rider
in a cavalry regiment, was admitted into hospital on the 24th
November, laboring under an aneurism of the ham ; but, in
virtue of clear evidence of disease, not only of the heart, but
also of the arterial system at large, Mr. Tagert declined
operating; as he considered the local affection to be only a
symptom of general disease, and the failure in the cure of