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ARTICLE |

A PISTOL SHOT WOUND OF THE ABDOMEN: THIRTEEN PERFORATIONS. RECOVERY.

O. H. SWAYZE, M.D.
JAMA. 1907;XLIX(20):1675. doi:10.1001/jama.1907.25320200033003f.
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ABSTRACT

History.  —R. B., a negro boy, aged 15, was shot in the abdomen with a.32-caliber pistol Aug. 15, 1907. Dr. W. E. Noblin had charge and called me in consultation immediately.

Operation.  —An incision about seven or eight inches long was made in the median line. The first thing noticed after opening the cavity was the strong odor of fecal matter and evidence of a profuse hemorrhage. The source of hemorrhage was sought and found to be the artery that supplies the appendix. The appendix had been completely severed by the ball, and was floating in the abdominal cavity, held only by the meso-appendix. There were thirteen perforations, two in the transverse colon, one in the cecum, and the remainder in the small intestines. A purse-string linen suture was used to close all perforations. Fecal matter had discharged freely from most of the perforations, and in some instances as much

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