th. Corson of Norristown, Pa., has reported the case of a
quarryman who was stabbed in the neck with a shoemaker's knife,
severing the left carotid one inch below its division. He was seen
thirty minutes later in an apparently lifeless condition, but efforts
at resuscitation were successfully made. The hemorrhage ceased
spontaneously, and at the time of report, the man presented the
symptoms of one who had had his carotid ligated (facial atrophy on one
side, no pulse, etc.). Baron Larrey mentions a case of gunshot wound in
which the carotid artery was open at its division into internal and
external branches, and says that the wound was plugged by an
artilleryman until ligation, and in this primitive manner the patient
was saved. Sale reports the case of a girl of nineteen, who fell on a
china bowl that she had shattered, and wounded both the right common
carotid artery and internal jugular vein. There was profuse and
continuous hemorrhage for a time, and subsequently a false aneurysm
developed, which ruptured in about three months, giving rise to
enormous momentary hemorrhage; notwithstanding the severity of the
injury and the extent of the hemorrhage, complete recovery ensued. Amos
relates the instance of a woman named Mary Green who, after complete
division of all the vessels of the neck, walked 23 yards and climbed
over an ordinary bar-gate nearly four feet high.

Cholmeley reports the instance of a Captain of the First Madras
Fusileers, who was wounded at Pegu by a musket-ball penetrating his
neck. The common carotid was divided and for five minutes there was
profuse hemorrhage which, however, strange to say, spontaneously
ceased. The patient died in thirty-eight hours, supposedly from spinal
concussion or shock.

Relative to ligature of the common carotid artery, Ashhurst mentions
the fact that the artery has been ligated in 228 instances, with 94
recoveries. Ellis mentions ligature of both carotids in four and a half
days, as a treatment for a gunshot wound, with subsequent recovery.
Lewtas reports a case of ligation of the innominate and carotid
arteries for traumatic aneurysm (likely a hematoma due to a gunshot
injury of the subclavian artery). The patient was in profound collapse,
but steadily reacted and was discharged cured on the forty-fifth day,
with no perceptible pulse at the wrist and only a feeble beat in the
pulmonary artery.

Garengeot, Wirth, Fine, and Evers, all mention perforating wounds of
the