Case of Aneurism of the External Iliac Artery: Ligature of the Common Iliac: Death on the Fifteenth Day.

aged 34, rather slender, and not of a very healthy appearance, was admitted into the Northern Hospital, under my care, on December 12th, 1851. He was labouring under aneurism of the external il'iac artery on the right side. He was a coal-heaver by employment , and was in the habit of exerting hmelf very much at times in loading carts with coal. On one occasion, about four months before admision, he felt siomething give way in his groin, and suffered. a little pain in the part for some days afterwards; he however continued to work some time after this. About a month before entering the hospital, he applied to a druggist, who thoiught he had a bubo, and gave him a liient to rub it. About four days ago, he had applied to one of the parish surgeons, who imediately suspected the nature of his complaint, and directed him to the hospital. He said that he had only perceived the tumiour about a month before, and that his attention had been attracted to it by the swellig, which at the time pulsed strongly. It was, however, unattended by pain then as well as at the time of admission, but had ever since increased daiy in size. It was about the size of a cricket-ball, of a round shape, seated above Poupart's ligament, which it pushed down towards the thigh by its pressure. A very strong impulse was communicated to the hand when placed over it; and, on applying the stethoscope, a loud bruit was heard. There was no swelling or cedema of the leg or foot. The circulation was perfectly regular and tranquil, and the action of the heart natural. December 15th. In consultation with my colleagues, it was decided that tying the comn iliac artery would be the most advisiable plan to pursue; but the man, when it was proposed to him, would not submit to the operation. It was consequently agreed to try the effect of continued pressure by means of the horseshoe tourniquet below or on the distal side of the tumour. This was continued until the 19th; on removing the tourniquet on that day, some little ulceration of the in-teguments had taken place from the pressure of the pad. As it was evident that it was doing no good, it was not continued. External pressure with the hand on the aorta stoppedl the pulsation in the …