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Frederick C. Warnshuis, M.D.; Max Lampert, M.D.
JAMA. 1922;79(11):896. doi:10.1001/jama.1922.26420110001010.
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This case of unusually severe intra-abdominal injury presents the value of prompt operative interference and reiterates the value of thorough drainage in such types of intra-abdominal trauma.


History.  —G. T., a farmer boy, aged 16, admitted to the hospital at 7 o'clock one evening in June, 1922, had slid down the side of a hay stack at noon that day and landed on the broken handle of a pitchfork that was standing alongside the stack. The handle penetrated the perineum on the right side about an inch from the rectum. He pulled out the handle, lay down on the ground for about an hour, and then walked to the farm house. There was no severe hemorrhage. The boy stated that the handle penetrated a distance of 6 or 7 inches. A physician saw him about five hours later. The boy was complaining of severe abdominal pain. Morphin


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