Rupture of Aneurysm on Branch of Left Renal Artery, Complicating Pregnancy

Abstract

T 41 Bm 9 discharged to a convalescent home in March.Four weeks later a small abscess in the scar was opened in the casualty department.He was readmitted in July with an abscess below Poupart's ligament, flexed hip, pain on walking, and a mass in the right iliac fossa.The diagnosis of actinomycosis was made, and con- firmed by the recovery of the organism from the pus.He was treated by x rays, large doses of potassium iodide, by vaccines (both stock and autogenous), and later by collosol iodine given by the mouth and injected into the sinuses.His progress was, however, steadily downward.In December he was bedridden and apparently moribund.The whole peritoneum seemed to consist of one huge abscess, which extended down the thighs almost to the knees.No doubt a very mixed infection was present.About this time our pharmacist, Mr. A. L. Taylor, expressed the opinion that collosol iodine contained little if any iodine m a colloidal state, and suggested that tincture of iodine freshly added to milk would give a more truly colloidal solution.The patient was therefore given this preparation by the mouth.Within a week the sinuses had all closed, and he was out of bed greatly improved in his general condition.Unfortunately, in April a fresh abscess, containing staphylococci and other organisms, re-formed in the abdomen, and he died on April 29th, 1924.