The New York herald. [volume] (New York [N.Y.]) 1840-1920, 1875-06-21
A MEDICAL PHENOMENON.

A CASE UNPARALLELED WITHIN SURGICAL
KNowLEDaE-A MAN LIVES HAVING A RUP-
TURED CARDIAC ARTERY.
A case OF aneurism OF the arch OF the Aorta,
which is creating q great deal OF interest among
the medical pro ession, Is now being treated at
the Roosevelt Hospital, East Flfty-ninth street,
between Ninth and Tenth avenues. 1t is claimed
by prominent physicians In this city that this case
has no parallel in me deal history. The usual
suit or bursting OF artery OF the heart Is almost
instantaneous death. About month ago a case
occurred In Bellevue Hospital and the patient
lived twelve hours afterward. This was consid-
cred extraordinary; but the case, OF which brief
statement. copied from the hospitals minutes, is
given below, IS, as stated before, without prece-
dent
william Begge, aged forty years, native OF
Germ my, married, and by occupation a stevedore,
was admitted 10 the hospital August 0, 1s7A
Seven months before his admission nc fell through
a ships hatchwaY, distance OF about twelve feet,
on MS back, and received internal injuries. lie
complained OF severe pains In the chest but there
was no symptom OF injuries to the spine. At the
end OF four days ne returned TO work again and
continued nc his occupation about two months,
suffering occasionally IN the meantime; but In
February he was compelled 70 stop YORK. From
February until the time or his admission TO the
hospital ne was incapactated for continuous
labor, but worked occasionally day or two, all
OF the time complaining OF severe pains in the
chest aud between tue shoulder blades. On the
Tth OF August he was examined for the nrst time
by the visiting physician, ana tunor discovered
In the upper part IL MS chest. The general course
OF treatment adopted was the admins tration OF
morphine urst internally, then hyperdermicaly TO
relieve the patient OF pain. One Oh the peculiar
features OF tae case was tue request Of the patient
10 discontinue tue use OF the drug, as be was
MOIlQ become
MIN. on the 1st Of October ne was examined
again BY the visiting physician and tue tumor was
found to nave increased Y eatly in size and 10 De
located TO the right OF the sternum. For about
four weeks Begge was able u be ABOUT his ward
but on November 4 ne was again taken to his ped.
ON November he appeared TO DC much oct er
aud was able to be mp again. On tue 9th OF that
month he lett the hospital uncured, at hts own re-
quest. lie was absent from che hospital for aDOut
admitted, on February IS 1875. During lis aO-
sence from the hospital he suffered from
SEVERE SHOOTING PAINS
IN the region OF the sternum aud dun, burning
pain In tue spinal column. lie was able 10 be out
OF his bed OF ana on, up 10 the 25th OF May, when
a tumor became visible at the junction OF MS first
RIB and tue xiphoid cartilage. IL small the
tissues covering 10 perfectly colorless, and the
pain produced by it similar 20 that caused by an
ordinary boil. From the 1st OF jane the tumor
increased IN size and gave distinct signs OF pulsa-
shining, ana it continued TO Increase IN size until
June 10. when rupture occurred and a discharge
OF black blood and pus was noticed. second
lures. on saturday last the house physician was
called by one Of the nurses, who told him that tne
discharge OF pus was excessive. The physician
went In and found the pus flowing IN an
immense volume, and, after doing wint ne
could to regulate or restrain A., ne returned
TO his room. About twenty minutes later, how
ever ne heard a veil IN the ward, ana Fastening
Ia found that the aneur SIN nad burst and tnag
blood was nOwIng into the abseess compress
was nc once applied, but as II did not cheek the
hemorrnage the visiting surgeon, who was IN the
house, was Sent Tor and applied COMPRESS OF
oaKum soaked with per suiphate 81 IRON, which in
fifteen minutes checked the hemorThage. The pa
teat was in an extremely icverls n condition, mis-
pulse being IA. The wallis OF the aDscess were
distendeu with blood and distinct dinuse pusa-
ton was lelt throughout ~. Al midnight Inc pull
gatiOn had subsidized and the patent was stronger.
His pulse At this time was t00 fun and strong.
since teen there mas been an 0Oztng 81 serum but
az Begge Is unable 10 take any nUursnment but
little hopes are entertained for his recovery. lie
mas retained his senses perfectly. and Yesterday
morning requested MS nile come and MIN
at Ave T.. "a. Al he was alive