d not
given rise to any signs of spinal concussion.

(189*) _Ascending colon._--Wounded at Modder River. _Entry_
(Mauser), midway between the tip of the tenth right rib and the
iliac crest. Bullet retained. A second wound existed over the
centre of the left sterno-mastoid, and the bullet here was also
retained and never localised. The patient stated that he
brought up blood at short intervals for half an hour
immediately after he was wounded. This might have been
explained by the wound in the neck, but no difficulty in
swallowing was noted. The bowels acted the day after he was
shot, and, except for some local tenderness and immobility, no
abdominal signs were noted. Three weeks later a swelling was
obvious to the right side of the umbilicus, and a tympanitic
abscess developed; this was opened, and a deformed Mauser
bullet extracted. Foul pus, but no faecal matter, was evacuated,
and after discharging for a fortnight the wound closed, and the
man was sent home as 'well.' In this case I assumed a wound of
the ascending colon had occurred.

(190*) _Rectum and bladder._--Wounded at Graspan, while
retiring at the double. _Entry_ (Mauser), 1 inch to the right
of the coccyx; _exit_, 1 inch above the junction of the middle
and outer thirds of left Poupart's ligament. The man suffered
with some pain in the abdomen, and for first two days with
retention of urine. The urine was drawn off with the catheter,
and contained blood. During the next five days micturition was
hourly or more frequent; gas was passed _per urethram_, and the
urine was very foul, containing evident faecal matter.
Micturition continued frequent, with purulent cystitis for one
month. Local tenderness, pain, and immobility developed over
the lower quarter of the abdomen, extending to the right iliac
fossa. A local abscess pointed a little to the right of the mid
line, and 2 inches above the symphysis, and from this
foul-smelling pus, but no faeces, was discharged for three
months, during which period the surrounding dulness and
induration gradually decreased and the sinus healed. When the
patient left for England there was still occasional slight
discharge from the original wound of entry, and there was
slight discomfort on micturition, but he was otherwise well.