Ligation of the common iliac artery, which, in a case of gunshot
injury, was first practiced by Gibson of Philadelphia in 1812,
is, happily, not always fatal. Of 82 cases collected by Ashhurst,
23 terminated successfully.
Foreign bodies loose in the abdominal cavity are sometimes voided
at stool, or may suppurate externally. Fabricius Hildanus gives
us a history of a person wounded with a sword-thrust into the
abdomen, the point breaking off. The sword remained one year in
the belly and was voided at stool. Erichsen mentions an instance
in which a cedar lead-pencil stayed for eight months in the
abdominal cavity. Desgranges gives a case of a fish-spine in the
abdominal cavity, and ten years afterward it ulcerated through an
abscess in the abdominal wall. Keetley speaks of a man who was
shot when a boy; at the time of the accident the boy had a small
spelling-book in his pocket. It was not until adult life that
from an abscess of the groin was expelled what remained of the
spelling-book that had been driven into the abdomen during
boyhood. Kyle speaks of the removal of a corn-straw 33 inches in
length by an incision ten inches long, at a point about
equidistant from the umbilicus to the anterior spinous process of
the right ilium.
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