Prof. Fergusson's Lectures on the Progress of Anatomy and Surgery during the Present Century

1864 Boston Medical and Surgical Journal  
on the edge. This blade entered her neck, on the right side, about an inch above the clavicle, at the inner side of the stcrno-cleidomastoideus muscle, passing backwards and upwards to the depth of an inch and a quarter or more. The incision was transverse to the neck, but I could not ascertain whether the edge or back of the blade entered towards the larynx. The bleeding had ceased when I arrived. It had only amounted to an ounce, as near as I could judge. She was having faint spells, and
more » ... was no pulse at the right wrist. The external wound, which was five lines in length, gaped, and was closed by a slight stitch and adhesive plaster. July 23d .-No pulse in right wrist. Breathes short. Complains of pain in right chest. Has had faint spells through the night. A slight pulse felt under the median basilic vein of right arm. Pulse in left wrist 98. She was moved home to Lewiston Falls, and I did not see her again, but I saw her father a few days afterwards, who said she was very comfortable and doing well. The pulse had returned to the right wrist, and the wound healed without inflammation or swelling. Aug. 3d.-Twelve days from accident she was at play; had a faint spell, and died in a few moments. No post-mortem examination was made. That the blade entering at that place should have caused instant death would not have been strange ; but the apparent recovery and sudden death I can only account for by supposing that the lymphatic, recurrent laryngcal, descendens noni, or pneumogastric nerves, one or more of them, were injured. I think the fainting and breathing point to the pneumogastric nerve and its branches in explanation of the case.
doi:10.1056/nejm186408250710404 fatcat:rozk54fgfffkjoj4xkilungaru