is girl recovered so rapidly
that she was able to attend school six weeks afterward. In a case
reported by Bailey a middle-aged woman, while sliding down a hay-stack,
struck directly upon a pitchfork handle which entered the vagina; the
whole weight of the woman was successfully maintained by the cellular
tissue of the uterovaginal culdesac.
Minot speaks of the passage of one prong of a pitchfork through the
body of a man of twenty-one, from the perineum to the umbilicus; the
man recovered.
Hamilton reports a case of laceration of the perineum with penetration
of the pelvic cavity to the depth of ten inches by a stick 3/4 inch
thick. Prowse mentions the history of a case of impalement in a man of
thirty-four, who, coming down a hay-stack, alighted on the handle of a
pitchfork which struck him in the middle of the scrotum, and passed up
between the skin and fascia to the 10th rib. Recovery was prompt.
There are several cases on record in which extensive wounds of the
abdominal parietes with protrusion and injury to the intestine have not
been followed by death. Injuries to the intestines themselves have
already been spoken of, but there are several cases of evisceration
worthy of record.
Doughty says that at midnight on June 7, 1868, he was called to see a
man who had been stabbed in a street altercation with a negro. When
first seen in the street, the patient was lying on his back with his
abdomen exposed, from which protruded an enormous mass of intestines,
which were covered with sand and grit; the small intestine (ileum) was
incised at one point and scratched at another by the passing knife. The
incision, about an inch in length, was closed with a single stitch of
silk thread, and after thorough cleansing the whole mass was returned
to the abdominal cavity. In this hernial protrusion were recognized
four or five feet of the ileum, the cecum with its appendix, part of
the ascending colon with corresponding portions of the mesentery; the
distribution of the superior mesentery, made more apparent by its
living pulsation, was more beautifully displayed in its succession of
arches than in any dissection that Doughty had ever witnessed.
Notwithstanding the extent of his injuries the patient recovered, and
at last reports was doing finely.
Barnes reports the history of a negro of twenty-five who was admitted
to the Freedmen's Hospital, New Orleans, May 15, 1867, suffering from
an incised wound of the abdomen, fro
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