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November 19, 1932


Author Affiliations

Nashville, Tenn.

From the Department of Surgery of Vanderbilt Hospital.

JAMA. 1932;99(21):1777-1778. doi:10.1001/jama.1932.27410730001011

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This report of the successful amputation of an arm of a patient with hemophilia is given because of the unusual difficulties that were encountered.

J. B. S., aged 39, entered the Vanderbilt Hospital forty-eight hours following an accident in which he was struck by a truck. He was unconscious most of the time between the accident and his admission to the hospital. Examination showed that the patient was extremely ill. The systolic blood pressure was 85 mm. of mercury and the diastolic 60. He was pale and sweating profusely. The right arm and hand were greatly swollen. There were ecchymoses in the region of the left wrist. The right hip was swollen and tender. Air was present in the soft tissues of the right side of the chest. Roentgen examination of the chest revealed fractures of seven ribs on the right side, three of the ribs being fractured in two