Title: McClay, Alfred

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), 550.

Keywords:wounds and injuries of the chestoperations on the chestligationsligations of the intercostal arteryfractured ninth ribtraumatic penumoniaattempt to tie vessel unsuccessfulabscesses in lower lobe of lungsecondary hæmorrhagetreated by venesection

Civil War Washington ID: med.d1e19927

TEI/XML: med.d1e19927.xml

In the next case, the attempt to tie the vessel was unsuccessful, though undertaken by Surgeon T. Antisell, U. S. V.:

CASE.—Private Alfred McClay, Co. E, 114th Pennsylvania Volunteers, aged 17 years, was wounded at Fredericksburg, Virginia, December 13th, 1862, by a conoidal ball, which entered the right side at the costal cartilage, and emerged at the angle of the ninth rib, fracturing the rib between the point of entrance and exit. He was treated in the field, and, on December 17th, was sent to Harewood Hospital. When admitted, he suffered from traumatic penumonia, which was treated by venesection and the administration of morphia and antimony. He recovered sufficiently to be able to move about the ward. The wound healed kindly. On January 11th, a profuse hæmorrhage occurred from the wound, probably from intercostal artery, which continued in spite of compression. An unsuccessful attempt was made to ligate the artery. The hæmorrhage was finally suppressed, after an alarming loss of blood, by tight bandaging and styptics. The stoppage of the hæmorrhage was immediately followed by pain on both sides, cough, and expectoration. Pyæmia set in, and death occurred on January 24th, 1863. Necropsy: No opening had been made into the cavities, either by the missile or ulceration. Eight abscesses, from the size of a pea to that of an orange, were found in the lower lobe of the left lung, which was also in a very congested condition.