L'Encyclopédie internationale de chirurgie, un traité systématique sur la théorie et la pratique de la chirurgie . la source précise de l'hémorragie n'a pas été déterminée. Il a été décidé que même notalways les vaisseaux hémorragiques ont été l'intermédiaire de succursales ou de l'iliaque interne. Dans aucune région, aussi, était l'application de la règle d'un navire ligature des blessés au-dessus et au-dessous de l'lesionmore difficile, et dans aucun furent les conséquences de négliger ce rulemore^ désastreux. plaies de l'artère iliaque interne.-l'lésions primaires d'thisvessel, comme celles de l'artère iliaque commune, mais sel

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The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . the precise source of the bleeding was not determined. It was notalways decided even whether the bleeding vessels were branches of theexternal or of the internal iliac. In no region, too, was the application ofthe cardinal rule of ligaturing a wounded vessel above and below the lesionmore difficult, and in none were the consequences of neglecting this rulemore disastrous.^ Wounds of the Internal Iliac Artery.—The primary lesions of thisvessel, like those of the common iliac artery, but seldom receive surgicaltreatment, because death from hemorrhage too speedily ensues. A case, however, is reported in the history of the late civil war, in which this arteryappears to have been wounded by a musket-ball, and the man was taken toa field-hospital, where he died from internal hemorrhage fifteen hours after 1 Clinique Chirurgicale, 1829, t. iii. p. 156. 2 Medical and Surgical History of the War of the Rebellion, Second Surg. Vol., p. 323. Ibid., p. 325. 236 INJURIES OF BLOODVESSELS.Fig. 436.. Showing the bloodvetsels, nerves, and viscera of the pelvis. the casualty.^ Moreover, there are six cases of gunshot wound of the pel-vis reported, in which secondary hemorrhage occurred from lesions of theinternal iliac artery, between the twelfth and twenty-first days, and deathensued.^ The tunics of the artery in each instance were probably bruised bythe missile, and when the disintegrated tissue was separated from the soundtissue by ulceration, the artery was opened, and hemorrhage ensued. Inthree cases the internal iliac artery was ligatured on Hunters plan to sup-press the liemorrhage from a wounded branch, but ^vithout success in everyinstance.^ In the following case, the inferior hemorrhoidal arteries were wounded bya conoidal musket-ball, and death took place from secondary hemorrhage onthe fortieth da}:— A soldier, aged 20, wounded May 8, 1862, in the buttocks and rect

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