In his "Surgery" Gooch
says that at the battle of Dettingen one of Sir Robert Rich's
Dragoons was left all night on the field, weltering in his blood,
his spleen hanging out of his body in a gangrenous state. The
next morning he was carried to the surgeons who ligated the large
vessels, and extirpated the spleen; the man recovered and was
soon able to do duty. In the Philosophical Transactions there is
a report of a man who was wounded in the spleen by a large
hunting-knife. Fergusson found the spleen hanging from the wound
and ligated it. It separated in ten days and the patient
recovered.
Williams reports a stab-wound of the spleen in a negro of
twenty-one. The spleen protruded, and the protruding part was
ligated by a silver wire, one-half of the organ sloughing off;
the patient recovered. Sir Astley Cooper mentions a curious case,
in which, after vomiting, during which the spleen was torn from
its attachments, this organ produced a swelling in the groin
which was supposed to be a hernia. The vomiting continued, and at
the end of a week the woman died; it was then found that the
spleen had been turned half round on its axis, and detached from
the diaphragm; it had become enlarged; the twist interrupted the
return of the blood.
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