Title: P——, G.

Source text: Surgeon General Joseph K. Barnes, United States Army, The Medical and Surgical History of the War of the Rebellion. (1861–65.), Part 1, Volume 2 (Washington, D.C.: Government Printing Office, 1870), 393.

Keywords:wounds and injuries of the facereview, hæmorrhages and ligationshæmorrhage in wounds of the facegunshot fractures of the facial bonesfracture of lower maxillasecondary hæmorrhagecommon carotid ligated

Civil War Washington ID: med.d1e18309

TEI/XML: med.d1e18309.xml

CASE.—Corporal G. P——, Co. H, 91st Pennsylvania Volunteers, aged 28 years, was admitted to Emory Hospital Washington, October 31st, 1864, for a gunshot wound of the face, received near South Side Railroad, Virginia, October 27th. A ball had entered the chin at the left side, passed inward and lodged beneath the angle of the inferior maxilla, whence it was extracted through the mouth. The wound was dressed with cold water, and a compress was applied to the jaw. On November 4th, secondary hæmorrhage occurred, which was arrested by plugging the wound with sponges. The common carotid artery was tied in the continuity, just above the omo-hyoid, by Surgeon N. R. Moseley, U. S. V., for recurring hæmorrhage on the 6th, and the patient died from exhaustion on the evening of November 16th, 1864. The post-mortem examination revealed a firm clot in the artery. A wet preparation, showing the extent of this formation, was contributed to the Army Medical Museum by Acting Assistant Surgeon W. H. Coombs, and is represented in the adjoining wood-cut (FIG. 179).

FIG. 179.—Obtunding coagulum in the primary carotid. Spec. 3403, Sec. I, A. M. M.