There is a remarkable example of recovery after multiple visceral
wounds, self-inflicted by a lunatic. This man had 18 wounds, 14
having penetrated the abdomen, the liver, colon, and the jejunum
being injured; by frequent bleeding, strict regimen, dressing,
etc., he recovered his health and senses, but relapsing a year
and a half later, he again attempted suicide, which gave the
opportunity for a postmortem to learn the extent of the original
injuries. Plater, Schenck, Cabrolius, the Ephemerides, and
Nolleson mention recovery after wounds of the liver. Salmuth and
the Ephemerides report questionable instances in which portions
of the liver were ejected in violent vomiting. Macpherson
describes a wound of the liver occurring in a Hindoo of sixty who
had been struck by a spear. A portion of the liver was
protruding, and a piece weighing 1 1/4 ounces was removed,
complete recovery following.
Postempski mentions a case of suture of the liver after a
stab-wound. Six sutures of chromicized cat-gut were carefully
tightened and fastened with a single loop. The patient left his
bed on the sixth day and completely recovered. Gann reports a
case of harpoon-wound of the liver. While in a dory spearing fish
in the Rio Nuevo, after a sudden lurch of the boat, a young man
of twenty-eight fell on the sharp point of a harpoon, which
penetrated his abdomen.
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