Wheeling register. [volume] (Wheeling, W. Va.) 1878-1935, 1881-10-03

abseess. II contained about two ounces
OF greeniah. yellow fluid, . mixture OF
pus and hillary matter. This absce@
did not involve any portion OF the
substance OF the liver except the surface
with which it Has in contact, and no
communication could be determined
between it and any part OF the wound.
Some recent peritoneai adhesions exist
ed between the upper surface OF the
right lobe Of the liver and the dia-
phragm.
The liver was larger than normal,
weighing eighty four ounces. Its sub
stance was firm, but OF pale, yellowish
color on lib surface and throughout the
interior Of the organ, from fatty degen.
GRAFTON. No evidence that it had been
penetrated by the bullet could be found,
nor were there any abTeeeses or infrac.
tions in any part Of lis tissue.
TIE spleen was connected to the dia.
persm by adhesions. There were sew
eral rather deep conYenial assures in its
margins. giving il D lobulated appear.
ance. 1t was abnormally large. weigh.
ing eighteen ounces, Of Q very dark red
color both on the surface and ON the
section. Its parenchyma was soft and
flabby, but contained no abscesses or
infractions.
There we're some recent peritoneal
sdhesions between the posterior wall OF
the stomach and the posterior abdomi-
nal particles. With this exception no
abnormalities were discovered in the
stomach or intestines, nor we're any
other evidences OF general or local peri.
tonetis found besides those already
specified.
The right kidney weighed six ounces,
the left kidney seven. Just beneath the
capsule OF the right kidney, at about the
middle OF the convex border, there was
a little abscess,
One-Third Of an Inoh In Diameter.
There were three small serous eysts on
the convex border OF the right kidney,
| just beneath its capsule. In all other
respects the tissue OF both kidneys was
normal in appearance and in texture.
| The urinary bladder was empty.
Behind the right kidney, after the re-
moval OF that organ from th. body, the
dilated track OF the bullet was dissected
into. 1t was found that from the point
at which it had fractured the right elev-
| enth rib. three inches and half to the
right OF the vsrtebral spines the missile
had gone to the left, obliqnely forward,
passing through the body TO the first
lumbar vertebre and lodging in the ad-
ipose connective tissue Immediately be-
| low the lower border OF the pancreas,
about two inches and half TO the left
OF the spinal column and behind the
peritoneum. II had become completely
encysted.
The track of the bullet between the
point at which ii had fractured the
eleventh rib and that at which II
entered the first lumbar vertebrG was
considerably dllated, and pus had bur.
| rowed downward thrsugh the adipose
tissure behind the right kidney, and
thence had found its way between the
peritoneum and the right lilac fascia,
making descending channel which
extended almost to the groin. The
adipose tissue behind the kidney, in
| the vicinity OF this descending chann u
| was much thickened and condensed
by inflammation. In the channel, which
was found almost free from pus, lay tie
| flexible catheter introduced into the
wound at the commencement Of the
autopsy. It's extremity was found
doubled upon itself Immediately be-
meath the peritoneum rsposing upon
| the lilac fascia, where the channel di-
lated into bunch OF considerable size.
| This long, descending channel, now
| clearly seen to have been caused by the
burrowing OF pus from the wound, was
supposed during life to have been the
track of the bullet.
Ths last dorsal, togsthtr with the first
and second lumbar vertebrT and the
last rib. were then removed from the
body Tor more thorough examination.
When this examination was made II was
found that the bullet had penetrated the
first lumbar vertebra, in the upper part
part OF the right side OF its body. The
aperture by which II entered Involved
the intervertebral cartilage next above,
and was situated just below and anterior
10 the intervertebra forausn, from
which it's upper margin was about one
quarter OF an icnh distant. Passing
obliouely 10 the left and forward through
the upper part of the body OF the first
lumbar vertebra, "
Tho Bullet EMERGED By An Aperture.
the center OF which was about half an
inch 10 the left OF the median line, and
which also involved the intervertebrsl
cartilage next above. Tho canceilsted
tissue OF the body OF the first lumbar
yertebre was very much comminuted,
| and the fragments somewhat displaced.
Several deep fssures extended from
the track OF the bullet into the lower
| part of the body OF the twelfth dorsAl
yertebre; others extended through tho
| first lumbar vertebrR into the interver-
! tebrai cartilage and the second lumbar
yertebrs. Both this carthage and that
nsxt above we're partly destroyed by
| liberation. A number OF minute frag.
| mer,ts OF the lumbar vertebrR had been
driver into the adjacent soft parts. II
| vss further found that the right twelfth
| rib Was also fractured At point one
| inch and a quarter TO the right Of the
| transyerse process OF the twelfth dorsal
yertsbrR This injury had not been
| recognized during life.
On saving through the vsrtsbrS q
4 little 70 the TlXut VI tlo tuchAAh AhO, ~
was found that the spinal canal was not
involved by the track Of the ball. The
spinal cord and other contents OF this
portion Of the spinal canal presented no
abnormal Appearances. The rest Of the
apinal cord was not examined. Beyond
the frst lumbar vertebra the bullet
eontinued 70 20 to the lett,
osssine behind the pancfeas TO
the point where it Was found
Here it was enyeloped IN hrm
cyst of connective tissues, which con.
tsined, besides the ball, minute quan.
tity OF inspisated, somewhat cheesy
| pus, which formed thin layer over Q
portion OF the surface ofthe lead. There
Tss Also black shred sdherine 10
part Of the cyst wall, which proved, on
microseopical eIamins6oe, 70 be the
remains Of blood ciot For about an
inch from this cyst the track Of the
bslI behind. the pancreas vas com'
pletsly oblitsrstsd by the heal.
tne process. Thence - far beet
| 49, hx<lw "A fhA 6ruf lnnnhay