the
respirations 24, the belly moved generally, although
inspiration was shallow; the temperature was 99 deg.. Slight
tenderness in the belly to the inner side of the exit wound,
but no dulness.

The patient was starved for the first thirty-six hours, a
little warm water then being allowed. No symptoms developed,
and a perfect recovery followed.

(188) _Colon_, _liver_.--Wounded outside Heilbron. _Entry_
(Mauser), midway between the last right rib and the crista
ilii; _exit_, below the eighth costal cartilage in nipple line.
There were no serious primary symptoms, but ten days after the
accident the temperature rose, swelling and pain developed in
the right loin, and on the fourteenth day a large tympanitic
abscess was opened (Dr. Flockemann, German Ambulance.)
Faecal-smelling gas and pus were evacuated. There was no
extension of the abscess forwards. A week later the patient had
much improved, although there were evident signs of general
absorption, and the discharge from the abscess cavity was
abundant and very foul. On the thirteenth day a serious
haemorrhage occurred from the loin wound, which was opened up,
but no evident source was discovered; haemorrhage was repeated
the next day, and the man died.

At the _post-mortem_ examination a large quantity of
chocolate-coloured fluid was found free in the abdomen and
pelvis. A chain of small local abscesses was found surrounding
the ascending colon, and a larger one over the front of the
caecum. The wall of the ascending colon was generally thickened,
and from this, in three places, openings with rounded margins
connected the abscess cavities with the lumen of the bowel. One
of the openings, larger than the others, was possibly the
aperture of entry of the bullet; the others were apparently
spontaneous.

At the anterior border of the right lobe of the liver an
abscess cavity existed in connection with the wound of the
liver, and this was continuous with the aperture of exit,
although not discharging. The aperture of exit was plugged by a
tag of omentum (see fig. 89). No obvious source of the
haemorrhage was forthcoming, but it probably originated in one
of the large branches of the vena cava. The bullet had struck
the transverse process of the lumbar vertebra, but ha