Through the opening a
mass of intestines and a portion of the liver, attached by a
pedicle, protruded. A portion of the liver was detached, and the
liver, as well as the intestines, were replaced, and the man
recovered.
Baillie, Bhadoory, Barker, Edmundson, Johnson, and others, record
instances of abdominal wounds accompanied by extensive protrusion
of the intestines, and recovery. Shah mentions an abdominal wound
with protrusion of three feet of small intestine. By treatment
with ice, phenol, and opium, recovery was effected without
peritonitis.
Among nonfatal perforating gunshot wounds of the abdomen, Loring:
reports the case of a private in the First Artillery who
recovered after a double gunshot perforation of the abdomen. One
of the balls entered 5 1/2 inches to the left of the umbilicus,
and two inches above the crest of the ilium, making its exit two
inches above the crest of the ilium, on a line with and two
inches from the 4th lumbar vertebra. The other ball entered four
inches below and to the rear of the left nipple, making its exit
four inches directly below the point of entrance. In their
passages these balls did not wound any of the viscera, and with
the exception of traumatic fever there was no disturbance of the
health of the patient.
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