Civil War Washington

CASE 1197.—Private D. E. Isham, Co. E, 154th New York, aged 19 years, was wounded in the left foot, at Chancellorsville, May 3, 1863, and was admitted to a field hospital of the Second Corps. Surgeon C. S. Wood, 66th New York, made the following report: "The injury was caused by the explosion of a shell, which carried away most of the foot and shattered the cuneiform bone and the astragalus​, leaving the foot hanging by the integument of the plantar surface. There was but little hæmorrhage, but the shock was excessive and tetanic symptoms were present; in other words the case admitted of no delay. If I remember right the patient had lain out all night. Not knowing the extent of the injury I performed Chopart's amputation, but discovering the cuneiform and astragalus​ bones to be so much injured I proceeded, while the patient was still under chloroform, to perform Syme's operation." The patient was subsequently transferred to hospital at Alexandria, and later to Washington, where he was discharged from service January 22, 1864, and pensioned.