e adherent over an area corresponding to the
fifth to the eighth dorsal vertebrae, and opposite the seventh
the cord was soft and of the consistence of butter. A small
intra-dural haemorrhage was still evident below the main lesion,
not extensive enough to give rise to serious compression.
General adhesions in each pleura. Cystitis.

[Illustration: FIG. 79.--Appearance of Spinal Cord enclosed in membranes
in case 103 after removal from the canal. When the membranes were opened
a white custard-like substance took the place of the cord. Slight
evidence of extra-dural haemorrhage existed]

(104) _Dorsal region; section of cord; retained bullet._--Wound
of _entry_ (Mauser), in seventh right intercostal space, 4-1/2
inches from the dorsal spinous processes, oval in outline;
bullet retained.

Complete motor and sensory paralysis, with absence of reflexes
below umbilicus. Retention of urine, incontinence of faeces.
Large sacral bed-sore developed rapidly. Right haemothorax.

The patient emaciated rapidly, and for the last fourteen days
the temperature ranged to 104 deg., the bed-sore steadily
increasing in size. Death occurred on the forty-second day.

At the _post-mortem_ a Mauser bullet was found embedded in the
centrum of the twelfth dorsal vertebra. The bullet was slightly
curved; its anterior extremity had passed across the spinal
canal, and wounding the dura posteriorly rested against the
left lamina. The plating of the mantle of the bullet was
stripped from half the area of the tip. The dura was not
adherent, and the cord was softened for half an inch above the
point of section; above this it was normal, the vessels
coursing normally to the softened spot. Below the point of
section the cord was blanched, but offered no other macroscopic
evidence of disease. No evidence of either intra- or
extra-dural haemorrhage was detectible.

[Illustration: FIG. 80.--Complete division of Spinal Cord. The bullet is
retained, and from its position can be seen to have struck the right
half of the cord only. The nickel plating of half of the tip of the
bullet is stripped off. Case No. 104]

The right pleura contained a large quantity of dark cocoa-like
fluid. Extensive adhesions were present in both pleural
cavities. The spleen was much enlarged. At the base of the
bladder a l