The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . ^ fatal. Doubtless other arteries of the abdomen may be rup-tured without external wound. The aorta has occasionally been punctured by foreign bodies which hadentered it from the oesophagus. I have already presented two such examplesin the section on Punctured Wounds of Arteries. The aorta, too, has notunfrequently been opened by ulcerations caused by foreign bodies penetratingit from the oesophagus. The next four wood-cuts illustrate this accident. Fig. 426. Fig. Perforation of the
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . ^ fatal. Doubtless other arteries of the abdomen may be rup-tured without external wound. The aorta has occasionally been punctured by foreign bodies which hadentered it from the oesophagus. I have already presented two such examplesin the section on Punctured Wounds of Arteries. The aorta, too, has notunfrequently been opened by ulcerations caused by foreign bodies penetratingit from the oesophagus. The next four wood-cuts illustrate this accident. Fig. 426. Fig. Perforation of the aorta by a swaUowed bone. Thepoint of perforation is indicated by a stylet. C. Car-otid artery. SC. Subclavian artery. (E. bone is represented at the side. After Shetter(.\rehiv f. klin. Chir., 1878). Taken from PoulefsForeign Bodies in Surgical Practice, vol. i. p. 90, Perforation of the oesophagus and aorta by a fivefranc piece. (Denonvilliers, Musee Dupuytren.)Taken from Poulets Foreign Bodies in SurgicalPractice, vol. i. p. 93, Am. ed. Poulet lias collected thirty-three instances of the perforation of bloodvessels byforeign bodies lodged in the a?sophagus. In these cases, however, the perforationsAvere effected by ulcerations caused by the foreign bodies, that is, the perforations weresecondary to eschars, which, by gradually becoming deeper, finally involved the walls ofthe vessels. In 17, or over one-half of these 33 cases, the aorta was the vessel per-forated ; in 4 the common carotid artery; in 2 the vetia cava ; in 1 the inferior
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