Daily Los Angeles herald., 1881-10-06

o serious attack OF chronic dysente-
~, from which the patient is said to
have suffered during the civil war.
On the right side there were q few
similar adhesions, and = number OF
more delicate and probably recent
ones.
CALCULATED BLOOD.
A mass of black coagulated blood
covered and concealed the spleen
and the left margin of the greater
amentum. On raising the omen.
tum it was found that this blood
mass extended through. the left
lumbar and lilac regions and drop
ped down into the pelvis, In which
there was some clotted blood and
rather more than q pint OF bloody
fluid. Ia foot-Dote here says: A
large part of this fluid had probab-
ly transuded from the Injection
material of the embalmer. The
blood coagular have been turned
out and collected, measured very
nearly pint. 1t was now evident
that secondary hemorrhage had
been the immediate cause of death,
but the point from which blood
had escaped was not at once appar-
emit. The omentum was not adj
herent to the intestines, which
were moderately distended with
gas. No intestinal adhensions
were found, other than those be-
tween the transverse colon and
liver, already mentioned. The alb.
dominal cavity being now washed
out as thoroughly as possible, q
fruitless attempt was made to OBJ
tain some indications of the posi-
ton of the bullet before making
any further incisions. BY pushing
the intestines aside the extremity
of the catheter, which had been
passed into the wound, could be
felt between the peritoneum right
lilac fascia, but 1t had evidently
doubled upon itself, and, although
prolonged search was made, moth.
ing could be seen or felt to indicate
the presence Of the bullet, either in
that region or elsewhere. The alb.
deminsl viscera were then careful
~ removed from the body, placed
in suitable vessels, and examined
seriatim, with the following result:
AN ABsCEss.
The adhesions between the liver
and transverse colon proved to
bound an abscess cavity between
the under surface Of the liver and
the transverse mesocol0n, which
involved the gall and bladder, and
extended to about the same dis
tance on each side of 1t, measuring
six inches transversly and four
inches from before backward. The
cavity was lined by thick pyoge-
mic membrane, which completely
replaced the capsule of that part of
the under surface of the liver Occu-
pied by the abscess. 1t contained
about two ounces of greenish-yel-
low fluid of the texture of pus mat
ter. This abscess did not involve
any portion of the substance of the
liver, except the surface with
which 1t was in contact, and no
communication could be detected
between it and any part of the
wound. Some recent peritoneal
adhesions existed between the up
per surface of the right lobe of the
liver and the diaphragm. The liver
was larger than normal, weighing
eigty-four ounces. Its substance
was firm, but of pale-yellowish
color on its surface and throughout
the interior of the organ, from fat
ty degeneration. No evidence
/ ~ To- hui h IN
bullet could be found, nor were
there any Assesses in any part of
its tissue. The spleen was connect
ed with the diaphragm adhesions.
There were several rather deep con.
genial assures In its margin, giving
a lobulated appearance. 1t was
abnormally large, weighing eight
cen ounces, and was of q very dark.
red color, both on the surface and
ON the section. Its parenehyma
was soft and fabby, but contained
no Assesses nor infractions. There
were some recent peritonesl adhe.
sions between the posterior wall of
the stomach and the posterior alb.
dominal particles. With this ex-
ceptiOn, no abnormities were dis
covered In the stomach or intes-
tines, nor were any other evidences
Of general or local peritonitis found
besides those already specified.
The right kidney weighed six
ounces, the left kidney seven.
| A SMALLER ABSCESS.
just beneath the capsule of the
left kidney, at about the middle OF
its convex border, there was lit
tie abscess, one-third of an inch in
diameter. There were three small
serous cysts on the convex border
Of the right kidney, just beneath
its capsule. In other respects the
tissue of both kidneys was normal
In appearance and in texture. The
urinal bladder was empty. Behind
the right kidney, after the removal
of that organ from the body, the
dilated track of the bullet was dis
sected into. 1t was found that from
the point at which IL had fractured
the right eleventh rib, three inches
and q half to the right of the YER
tebral spine, the missile had gone
/ W tn0 iClty oOh4uOiy iVtWuIus pass
ing through the body of the first
lumbar vertebra and lodging in the
adipose connective tissue immedl-
ately below the lower border of the
pancreas, about two inches and q
half to the left of the spinal cell
umn, and behind the peritoneum,
where it had become completely
encysted. The track of the bullet
between the point at which it had
fractured the eleventh rib, and tina
at which it entered the first lum bar
vertebra was. considerably dilated,
and the pus had burrowed down
wards through the adipose tissue
behind the right kidney and thence
had found its way between the per-
itoneum and the right lilac fascia,
making q descending channel,
which extended almost to the
groin. The adipose tissue behind
the kidney In the vicinity of this
Izna.ndgn~