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The superficial glands through their relations to the genitals are frequently the subject of venereal infection, and also of epithelioma when this disease affects the genitals or anus; they are rarely the seat of tuberculosis. The deep inguinal glands lie on the medial side of the femoral vein, and sometimes within the femoral canal.
It is also met with in the groin following on inflammation and suppuration of the inguinal glands, and cases are recorded in which the sloughing process has implicated the femoral vessels and led to secondary hæmorrhage. Cellulitis of the scalp, orbit, neck, pelvis, and perineum will be considered with the diseases of these regions.
The man who has chronic inflammation of a large artery, the result, for instance, of gout, arduous, straining work, or kidney-disease, and whose artery yields under cardiac pressure, has a spontaneous aneurysm; the barman or window-cleaner who has cut his radial artery, the soldier whose brachial or femoral artery has been bruised by a rifle bullet or grazed by a bayonet, and the boy whose naked foot is pierced by a sharp nail, are apt to be the subjects of traumatic aneurysm.
If a native kills another accidentally he is punished according to the circumstances of the case; for instance, if, in inflicting spear wounds as a punishment for some offence, one of the agents should spear the culprit through the thigh, and accidentally so injure the femoral artery that he dies, the man who did so would have to submit to be speared through both thighs himself.
When gangrene follows occlusion of the external iliac or of the femoral artery above the origin of its deep branch, the death of the limb extends as high as the middle or upper third of the thigh.
Sclerostomiasis with attendant arteritis, thrombus formation and subsequent lodgement of emboli in the iliac, femoral, or other arteries, causes sufficient obstruction to prevent free circulation of blood, and the characteristic lameness of thrombosis results. Indirect injury to vessels may occur because of contused wounds and subsequent inflammation of tissues supplied by such vessels.
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