At the time of the
injury he bled freely from the wound of entrance continuing to
lose blood and bile until daylight the next morning, when the
hemorrhage ceased, but the flow of bile kept on. By June 10th
there was considerable improvement, but the wound discharged
blood-clots, bile, and serum. When the patient left the hospital
on July 15th the wound was healthy, discharging less than 1 1/2
ounces during the twenty-four hours, of a mixture of free bile,
and bile mixed with thick material. When last heard from--July
27, 1867--the patient was improving finely in flesh and strength.
McKee mentions a commissary-sergeant stationed at Santa Fe, New
Mexico, who recovered after a gunshot wound of the liver. Hassig
reports the case of a private of twenty-six who was wounded in a
fray near Paducah, Kentucky, by a conoid ball, which passed
through the liver. The ball was cut out the same day. The patient
recovered and was returned to duty in May, 1868. Patzki mentioned
a private in the Sixth Cavalry, aged twenty-five, who recovered
from a gunshot wound of the abdomen, penetrating the right lobe
of the liver and the gall-bladder.
Resection of the Liver.--It is remarkable to what extent portions
of the liver may be resected by the knife, cautery, or ligature,
and the patient recover.
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