Some observations on carcinoma of the prostate treated with œstrogens–as demonstrated by serial biopsies
✍ Scribed by J. D. Fergusson; W. Pagel
- Publisher
- John Wiley and Sons
- Year
- 1945
- Tongue
- English
- Weight
- 1010 KB
- Volume
- 33
- Category
- Article
- ISSN
- 0007-1323
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✦ Synopsis
radial artery above the lump. The lump could be moved from side to side, but not from above downwards. There was a systolic murmur over the lump. There was no loss of sensation to pin-prick or cotton-wool over the forearm or hand. It is clear that this patient had sustained a traumatic aneurysm of the radial artery. FIG. 14z.-Case 8. Aneurysm of the radial artery.
AT OPERATION.-On Feb. 26, 1943, under general anlesthesia, a tourniquet was placed round the arm and a vertical incision made over the lump and the lump exposed. The radial artery entered above and emerged below it. The aneurysm was opened. It contained red blood-clot inside a thick sac. The arterial wall was reduced to a shallow groove in the floor of the sac. As the artery was considered irreparable, it was ligatured above and below the aneurysm and the sac excised. The wound was sutured.
The patient made an uneventful recovery from the operation and left hospital on March 3. There was no alteration in the warmth of the hand as a result of the ligature, and the only abnormality noted was the absence of the radial pulse.
SUMMARY
Eight cases of aneurysm are described. I n 4 cases the aneurysm was traumatic and saccular, and the arteries distal to the aneurysm exhibited almost normal pulsation. I n these cases Matas' operation of reconstructive endo-aneurysmorrhaphy proved thoroughly practicable, the patient being cured by the operation.
I n 3 cases the aneurysm was traumatic and fusiform. The arteries distal to the aneurysm showed no pulsation. Matas' obliterative endo-aneurysmorrhaphy served, however, to cure these patients of their aneurysms. I n I case, which unfortunately proved fatal, the aneurysm was due to the rupture of an arteriosclerotic calcified vessel. In this case the aneurysm had caused gangrene of the foot, which necessitated a disarticulation through the hip-joint.