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JAMA. 1911;LVII(1):25. doi:10.1001/jama.1911.04260070029015.
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History.  —Mr. F. A., aged 30, was shot from below, by a person standing on the sidewalk, the bullet going through a window and striking him in the right lumbar region. The patient was brought to the hospital, and presented the appearance of considerable shock, with marked abdominal pain and rigidity. The abdominal findings were those of peritoneal injury with marked distention, tenderness and pain. The pulse was 100, temperature 99 F. The patient was prepared for operation and taken to the operating-room, but refused operation at that time, it being 2 o'clock in the morning. The following morning at 9 o'clock, the symptoms not having abated, the patient was again consulted and urged to submit to operation, to which he consented.

Operation.  —The abdomen was opened in the middle line above the umbilicus, and the liver, gall-bladder, stomach, spleen and the intestines, were carefully gone over without finding any


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