was found lying under the skin far
back in the left loin. The patient was pulseless, and there was
much rigidity of the abdomen, tenderness, and vomiting. He died
a few hours later.
CASE II.--The bullet, coming from the side, had entered the
abdomen 4 inches below and behind the right nipple. There was
no exit wound. The patient had been vomiting a good deal, but
not any blood; the abdomen was very rigid and tender. He was
obviously very ill, and died the next morning. The bullet had
probably perforated the liver and _stomach_.
CASE III.--There was a large wound above the right anterior
iliac spine (probably the point of exit), and a small opening
behind and near the spine on the same side. There was great
tenderness and rigidity of the abdomen. He died a few hours
later.
CASE IV.--In this case there was a transverse wound of the
abdomen, the bullet having entered on the right side in the
middle of the lumbar region and passed out on the left side,
rather higher up and further back. All the symptoms of acute
peritonitis were present. The patient died the next morning.
CASE V.--The bullet had entered the anterior end of the sixth
intercostal space on the left side, and was found lying under
the skin over the seventh intercostal space on the right side
and about 2 inches further back. He had vomited blood on the
previous day. The bullet may have perforated the _stomach_. The
epigastrium was somewhat tender, but there were no marked
symptoms. On April 1 he was going on well.
CASE VI.--The place of entrance of the bullet was 1 inch in
front of the right anterior superior spine, and of exit behind
the left sacro-iliac synchondrosis. There was much haemorrhage
at the time. His condition when I saw him was fair, and there
was no marked abdominal tenderness. On April 1 his morning
temperature was 101 deg.. There were no signs of general
peritonitis, and his condition was good.
CASE VII.--The bullet had entered from behind, about the tip of
the twelfth rib on the left side, and had left about the middle
of the epigastrium, and rather to the left of the middle line.
Vomiting was still going on, but not of blood. There was much
tenderness and rigidity of the abdomen, and he was almost
pulseless. On April 1 his general cond
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