82. SPIRALLY GROOVED BULLET 381

83. ECCHYMOSIS IN FRACTURED RIBS WITH HAEMOTHORAX 392

84. SUBCUTANEOUS DIVISION OF ABDOMINAL MUSCLES 409

85. LATERAL INCOMPLETE WOUND OF SMALL INTESTINE. SLIT
FORM 416

86. LATERAL PERFORATION OF SMALL INTESTINE. GUTTER FORM 417

87. ENTRY AND EXIT WOUNDS IN A TRANSVERSE PERFORATION OF
INTESTINE 418

88. INNER ASPECT OF PIECE OF INTESTINE SHOWN IN FIG. 87 419

89. IMPACTION OF OMENTUM IN EXIT WOUND OF ABDOMINAL WALL 421

90. FRAGMENTS OF LARGE SHELLS 475

91. FRAGMENTS OF PERCUSSION AND TIME FUSES 477

92. COMPLETE 1-LB. POM-POM SHELL 479

93. FRAGMENTS OF EXPLODED POM-POM SHELLS 480

94. PERCUSSION FUSE FROM 1-LB. POM-POM SHELL 481

95. FRAGMENTS OF BOER SEGMENT SHELLS 483

96. NORMAL AND DEFORMED LEADEN SHRAPNEL BULLETS 485

_TEMPERATURE CHARTS_

1. CASE OF AXILLARY HAEMATOMA, BLOOD TEMPERATURE 119

2. CASE OF HAEMOTHORAX WITH RECURRENT HAEMORRHAGES 395

3. PRIMARY AND SECONDARY RISES OF TEMPERATURE IN HAEMOTHORAX,
RECOVERING SPONTANEOUSLY 402

4. SECONDARY RISE OF TEMPERATURE IN HAEMOTHORAX 403

5. FALLS OF TEMPERATURE IN HAEMOTHORAX FOLLOWING PARACENTESIS 404

6. SECONDARY HAEMOTHORAX, SPONTANEOUS FALL OF TEMPERATURE 405

SURGICAL EXPERIENCES

IN

SOUTH AFRICA

CHAPTER I

INTRODUCTORY

The following pages are intended to give an account of personal
experience of the gunshot wounds observed during the South African
campaign in 1899 and 1900. For this reason few cases are quoted beyond
those coming under my own immediate observation, and in the few
instances where others are made use of the source of quotation is
indicated. It will be noted that my experience was almost entirely
confined to bullet wounds, and in this respect it no doubt differs from
that of surgeons employed in Natal, where shell injuries were more
numerous. This is, however, of the less moment for my purpose as there
is probably little to add regarding shell injuries to what is already
known, while, on the other hand, the opportunity of observing large
numbers of injuries from rifle b