The wound was at once opened and blood found oozing
from the distal extremities of the carotid artery and jugular
vein, which were promptly clamped. The common carotid artery was
not sound, so that ligatures were applied to the internal and
external carotids and to the internal jugular with a small branch
entering into it. The patient was in great collapse, but quickly
rallied, only to suffer renewed hemorrhage from the internal
carotid nine days later. This was controlled by pressure with
sponges, and a quart of hot water was injected into the rectum.
From this time on the patient made a slow recovery, a small sinus
in the lower part of the neck disappearing on the removal of the
catgut ligature.
Adams describes the case of a woman who attempted suicide with a
common table-knife, severing the thyroid, cricoid, and first
three rings of the trachea, and lacerating the sternohyoid and
thyroid arteries; she finally recovered.
There is a curious case of suicide of a woman who, while under
the effects of opium, forced the handle of a mirror into her
mouth. From all appearances, the handle had broken off near the
junction and she had evidently fallen forward with the remaining
part in her mouth, driving it forcibly against the spine, and
causing the point of the handle to run downward in front of the
cervical vertebrae.
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