Schell records the case of a soldier who
was wounded July 3, 1867, by a conoid ball from a Remington
revolver of the Army pattern. The ball entered on the left side
of the abdomen, its lower edge grazing the center of Poupart's
ligament, and passing backward, inward, and slightly upward,
emerged one inch to the left of the spinous process of the
sacrum. On July 6th all the symptoms of peritonitis made their
appearance. On July 11th there was free discharge of fecal matter
from both anterior and posterior wounds. This discharge continued
for three days and then ceased. By August 12th both wounds were
entirely healed. Mineer reports a case of a wound from a
revolver-ball entering the abdomen, passing through the colon,
and extracted just above the right ilium. Under simple treatment
the patient recovered and was returned to duty about ten weeks
afterward.
There are a number of cases on record in which a bullet entering
the abdominal cavity is subsequently voided either by the bladder
or by the bowel. Ducachet mentions two cases at the Georgetown
Seminary Hospital during the late war in which Minie balls
entering the abdominal wall were voided by the anus in a much
battered condition. Bartlett reports the case of a young man who
was accidentally shot in the abdomen with a Colt's revolver.
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