It then passed through
the small sacrosciatic notch, completely dividing the pudic
artery and nerve, and one vein, each end being closed by a clot.
The knife entered the bladder close to the trigone, making an
opening large enough to admit the index finger. There were
well-marked evidences of peritonitis and cellulitis.
Old-time surgeons had considerable difficulty in extracting
arrow-heads from persons who had received their injuries while on
horseback. Conrad Gesner records an ingenious device of an old
surgeon who succeeded in extracting an arrow which had resisted
all previous attempts, by placing the subject in the very
position in which he was at the time of reception of the wound.
The following noteworthy case shows that the bladder may be
penetrated by an arrow or bullet entering the buttocks of a
person on horseback. Forwood describes the removal of a vesical
calculus, the nucleus of which was an iron arrow-head, as
follows: "Sitimore, a wild Indian, Chief of the Kiowas, aged
forty-two, applied to me at Fort Sill, Indian Territory, August,
1869, with symptoms of stone in the bladder. The following
history was elicited: In the fall of 1862 he led a band of Kiowas
against the Pawnee Indians, and was wounded in a fight near Fort
Larned, Kansas.
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