tient had once
had an attack of acute appendicitis, and he himself said he was
sure he now had 'peritonitis,' as he had pain exactly similar
in the belly to that he had suffered in his previous illness.
No further signs, however, developed under an expectant
treatment, and he remained some two months in hospital, while
the wound in the thigh and a third injury to the elbow-joint
were healing.
(171) _Entry_ (Mauser), at the highest point of the left crista
ilii; _exit_, through the right ilium, 2 inches horizontally
anterior to the posterior superior spine. Absolutely no
abdominal symptoms followed. The bowels were confined five
days, and then opened by enema. The patient complained of some
stiffness in the lumbo-sacral region, but the right
synchondrosis was no doubt implicated in the track.
(172) Wounded at Paardeberg (range 800 yards). _Entry_
(Mauser), 2 inches diagonally below and to the right of the
umbilicus; _exit_, not discoverable. For the first two days the
patient had to lie out with the regiment; on the fourth he was
removed to the Field hospital. During the first three days the
patient vomited (green matter) frequently, and the belly was
hard and painful; as biscuit was the only available food, no
nourishment was taken. The bowels acted on the second night. At
the end of a week the patient was sent by bullock wagon (three
days and nights) to Modder River, and then down to Capetown,
where he walked into the hospital on the thirteenth day,
apparently well.
Two days later the temperature rose to 104 deg., and enteric fever
was diagnosed, no local signs pointing to the injury existing.
The patient made a good recovery.
(173) Wounded at Colenso. _Entry_ (Mauser), at junction of
outer 2/5 with inner 3/5 of line from right anterior superior
iliac spine to umbilicus; _exit_, at upper part of right great
sacro-sciatic foramen, in line of posterior superior iliac
spine. Advancing on foot when struck; he then fell and crept
fifty yards to behind a rock, where he remained seven and a
half hours. For two days subsequently he vomited freely; the
bowels acted nine hours after the injury, and then became
constipated. No further symptoms were noted, and at the end of
three weeks the abdomen was absolutely normal. The man
|