The earlier examples of ligation of the inferior vena cava in man were the result of accidental injury, usually during nephrectomy. O. G. Pfaff credits Battim with the first successful ligation, in 1893. Ligations which terminated fatally had been reported by Kocher, by Billroth, and by Kiester. More than a hundred years earlier, Haller (1756) demonstrated the collateral circulation in a case of thrombosis of the inferior vena cava. In more recent years this blood vessel has been ligated more frequently in the treatment of thrombophlebitis or severe pelvic infection. Injuries to the vena cava reported during the past twentyfive years in most cases have been treated successfully by suture or by clamping the injured area with one or more curved hemostats which were left in place five to seven days.
In the preceding article an interesting case of delayed postnephrectomy hemorrhage controlled by ligation of the inferior vena cava