ft of second lumbar spinous process, just below the last rib.
Vomiting commenced almost immediately after reception of the
injury, and the bowels acted frequently. This condition
persisted until the fourth day, when the patient was brought
down to Orange River, and the signs were as follows.
Considerable pain in left half of abdomen, pulse 110, fair
strength, temperature 101 deg.. Some general distension of abdomen
with complete disappearance of hepatic dulness. Some movement
of right half of abdomen, left half immobile, dulness extending
from the flank as far forwards as linea semilunaris. An
incision was made in left linea semilunaris, and Oj blood
evacuated from the left loin. There was no lymph on the
intestines nor sign of inflammation. No perforation was
discovered in either stomach or intestine, but on two coils of
jejunum there were deep slits 3/4 inch long, extending through
both peritoneal and muscular coats. Beyond these wounds, on
other coils oval patches of ecchymosis, due to direct bruising,
were present. The peritoneal cavity was sponged free of all
blood and irrigated with boiled water; no bleeding point was
discovered, and the abdomen was closed.

The next morning the patient was comfortable; temperature
100.2 deg., pulse 100. Tongue clean and moist; he vomited once
during the night.

Some bloody discharge had collected in the dressing, and at the
lower angle of wound there was a local swelling, apparently in
the abdominal wall. The flank was resonant.

During the afternoon the patient became faint, and when seen at
6 P.M. was in a state of collapse, in which he shortly died.

Death was apparently due to renewal of the previous haemorrhage.
No _post-mortem_ examination was made.

(170*) Wounded at Magersfontein. _Entry_ (Mauser), 1/2 inch to
the left of the second sacral spine; _exit_, immediately below
the left anterior superior iliac spine; the patient was
kneeling at the time, and the same bullet traversed his left
thigh in the lower third. When seen on the third day, the
lower part of the abdomen was motionless, tumid, and tender.
The bowels had been confined for three days; there had been no
sickness, and the tongue was moist and clean. Temperature 100 deg.,
pulse 90, fair strength, respirations 38. The pa