Curler, I. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e2663 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities
319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu
 2011

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 The following are responsible for particular readings or for changes to this file, as noted: Kenneth M. Price AJ Howell Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey Sarah Synovec The Medical and Surgical History of the War of the Rebellion. (1861-65.)Washington, DCGovernment Printing OfficePart 3Volume 2188344 Medical and Surgical History of the War of the Rebellion wounds and injuries of the lower extremities flesh wounds of the lower extremities complications of shot flesh wounds of the lower extremities hæmorrhage ligations of blood-vessels of the lower limbs after flesh wounds ligation of the femoral artery gunshot wound of femoral artery ball entering anterior thigh, passing out posteriorly, going close to femur blessed added figure encoding additional proofing of transcription and encoding case text extracted and transformed from larger file Enrich Encoding, Edit and validate Validated File Sarah Synovec initial checking of OCR text; encoded P5 Encoding

CASE 97.—Private I. Curler, Co. G, 5th Michigan, was wounded at Fair Oaks, May 31, 1862, and admitted to Hygeia Hospital, Fort Monroe, four days afterwards. Surgeon R. B. Bontecou, U. S. V., reported: "Gunshot wound of femoral artery, the ball entering the anterior and middle portion of the right thigh and passing out opposite posteriorly, going close to the inside of the femur. The temperature of the limb was good, although the artery at the ankle beat feebly. Hæmorrhage from both wounds occurred on June 10th, and returned in a few hours. An unsuccessful attempt to find the artery below the wound was made, and I tied the femoral, as I supposed, above the profunda; but pulsation being so strong in the artery exposed below the ligature, further search was made and the profunda was found unusually high up. This was also tied, and no hæmorrhage returned. The foot, before the operation warm, now became cold; but by the aid of external heat its temperature returned on the following day. The patient was a fine healthy looking young fellow. He was transferred to New York by steamer on June 12th." Surgeon S. W. Gross, U. S. V., contributed the specimen shown in the annexed cut (FIG. 18) and reported the result of the case as follows: "The patient was admitted to DeCamp Hospital, David's Island, New York, June 15th, and was placed under the charge of Acting Assistant Surgeon W. K. Cleveland. At the time of his admission the ligature had come away but the wound had not united. On June 17th, profuse hæmorrhage occurred from the profunda femoris, around which a ligature was cast. The patient, however, had lost so much blood that he succumbed two hours after the operation." The specimen (FIG. 18) consists of a small section of the femoral and profunda arteries, and shows the femoral blocked up with a clot at the seat of the ligature, also the ligature around the profunda, where another clot was formed.

FIG. 18.—Section of right femoral and profunda. Ligature on the former has cut its way out. Spec. 1004.