Cholmeley reports the instance of a Captain of the First Madras
Fusileers, who was wounded at Pegu by a musket-ball penetrating
his neck. The common carotid was divided and for five minutes
there was profuse hemorrhage which, however, strange to say,
spontaneously ceased. The patient died in thirty-eight hours,
supposedly from spinal concussion or shock.
Relative to ligature of the common carotid artery, Ashhurst
mentions the fact that the artery has been ligated in 228
instances, with 94 recoveries. Ellis mentions ligature of both
carotids in four and a half days, as a treatment for a gunshot
wound, with subsequent recovery. Lewtas reports a case of
ligation of the innominate and carotid arteries for traumatic
aneurysm (likely a hematoma due to a gunshot injury of the
subclavian artery). The patient was in profound collapse, but
steadily reacted and was discharged cured on the forty-fifth day,
with no perceptible pulse at the wrist and only a feeble beat in
the pulmonary artery.
Garengeot, Wirth, Fine, and Evers, all mention perforating wounds
of the trachea and esophagus with recoveries. Van Swieten and
Hiester mention cases in which part of the trachea was carried
away by a ball, with recovery.
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