Robert Lee

“ She complains of great weakness in the whole left inferior extremity, and pain along the inner surface of the thigh and leg, the trunk and principal branches of the internal saphena vein, to the ankle are enlarged, indurated, and very painful on pressure; a considerable degree of swelling exists in their whole course, but the integuments though hotter than on the outer surface of the limb, retain their natural colour and do not pit. Pressure over the situation of the femoral vein excites no pain, and the vein itself cannot be felt. ”

“ The left extremity is swollen, stiff, hot, and painful, and cannot be moved, its integuments are white and pallid, and pit on strong pressure. The left labium pudendi is similarly affected. The femoral vein is felt enlarged and indurated in its passage through the groin;—intense pain marks its course down the thigh to the point where it leaves the ham; in this latter situation pressure produces much suffering, as it does down the whole posterior part of the leg. ”

“ Appearances on Dissection.—The whole of the left inferior extremity was considerably larger than the right, but no serous fluid escaped from the incisions made through the integuments, beneath which a thick layer of peculiarly dense, granular, adipose matter was observed. The common external iliac and femoral veins and arteries, enclosed in their sheath, were removed from the body for examination. ”