Ligature of Carotid Artery

Sik,?I shall feel obliged if you kindly publish this case in your esteemed Gazette. Ananta, a Hindu male, an inhabitant of Patna, aged 35, was admitted in the Mayo Hospital on the 16tli April 1910, for a swelling of ten months' duration in the upper part of the left side of the neck with a sinus. This swelling was supposed to be due to suppurating gland. He was put under chloroform for the operation of sinus by my colleague Assistant-Surgeon Babu J. N. Sen on the 18th. As soon as the director was put into the sinus, blood gushed out and on incUion being given, the sinus was found opening into an aneurysmaf sac. On the effort to stop the bleeding by local pressure having failed, 1 was sent for consultation. I found the patient bleeding profusely with an hemorrhagic pulse, and I decided to ligature the common carotid at the seat of election as the only chance. I made an incision and ligatured the artery and the haemorrhage stopped at once. The wound made for the ligature was stitched. The swelling on being explored was found to bs an aneurysmal sac connected witli the external carotid and reaching down to almost the bifurcation of common carotid. The