New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1881-10-02
column. and behind the peritoneum. 1t had become

which II had fractured the eleventh rib and that at
which it entered the first lumbar yerteDra %a So
siderably diated and the pus had buriowed doWh.
ward through the adipose tissue behind the rlght
kidney, and thence had found its way between t d
peritoncum and the right lilac fasela making uo
scending channel which extended almost ~ 10 t the
groin. The adipose tissue behind the Kidney II ,ne
vicinity of this descending chsnnG, inf I mmati nS
| In the channel which was found almost
free from pus lay the flexible ca.ne.et
introduced into the wound at the Somm comm donbIed
upon itself Immediately beneath the perltoneuin IT,
posing upon the lilac fascia where the chanhei was
dilated into pouch If considerable size ms Iohs
desc nding oh mel now clearly seen 10 nav as
caused by the burrowiug of pus from the wohu Ws
supposed during life to have been the uach Vi 'p0
bullet. , ood
The last dorsal together with the first ana secenu
lu bar vertebrR and the twelfth rlb were llcn re-
moved from the body for more thorough eAAHiin"-
I on. . 80 found
When the examination was made 1t was ioun 1
that the bullet had penetrated the hrst lumoat vfr
Zebra in the upper part of the rlght size OI Is 10y
The uperture bv winch il entered involved the m
tervertebral cartilage next above anu vas Sli"
just below and anterior to the mterVerteui t ,a
men, from which its upper margin was apou. o NJ
quarter of an inch distant. Pas ing oDllqueY " tHu
left and forward through the upper part OF llc ppn
OF the first lumbar ver,ebra the bullet emeTge9 ny
an aperture the centre OF which was ABOUT nan an
inch to the left of the meaian hhe anu M
also involved the interverebral car'ilane h IT,
above. The cancellated tissue OF the 10
off tbc first lumbar vertebra was very much com
minuted and the fragments somewhat ulSplac ~
bullet into the lower art OF the body OF the "''
dorsal vertebra Others extended through the hr"t
LUMBAR vertebra into the interverte"rLl carln re
between il and the second lumbar Vertepra DUN
this carthage and that next above were party W.
stroyed by liberation. number Oh nllhutI iaS
mens from the fractured lumbar vertfora nau LII
driven into the adjacent soft parts. III was lunci
found thar the right twelfth RIB also was IacVtu
at point inch and quarter to the rlgn, o uao
transverse process of the twelfth dorsal NeriepI.
This injury had not been recognized during
life. On saving through the VGrleoIaI ; a
Lutte to the right pi canal GG was %c involved
by the track OF the ball. The spinal cora anu
contents OF this portion of the spinal cana pleseH.eI
no abnormal appearances. Inc rest OF lho Spin"'
Beyond the nTst lumbar vertebra the bullet con
tnued to go to the lctt passing behind the paoieao
TO the point where 1t was found. lere ~ was o
Veuped in firm cyst of connective tissue Wmch Con
tanned besides the bail a minute quahllly, vi
spssated some what chersy pus winch IOrm'u Gn
layer over portion OF the surlaccol ln' cdu. -
was also blacA sured adherent 10 Il PnI'
of the cyst wall, which proved on micro.
scopcal examination TO be III tne an i''' incb
from this cyst the track 81 the IL behiIu 'te P
creas was completely oblIterated by the he1lins
process Thence far backward as 'ne ppuy -, ~,
the first lumbar vertebra, the track was hIlea Nl.h
coagulated blood when extended on lhe IeI i; noo
irregular space rent III lhe auJoIns , he' ,a1.
tissue Behind the pertoneun anu above tho p" ,
creas the blood had worked ITS way 10 INC ~
bursting fina Is. through the perltonGnH ucIihu
the spleen into the abdominal cavity me rehuins
OF the TISSUES by the eXtravas2uOh OF TINS DooA vas
undoubtedly the cause Ot the paroIyslhs III par"
which occurred short time before delth: ,a
This mass of cOagu.ated blood was OF lIIcsuia,
form and nearly as large a mans hst. IL
could b.. distinctly seen nom In 'front.' 'nIoubn tn0
ueriiOneum after its site behind the greater ohNd
ture of the stomach had been exposed Ol inc uSo ,
tinn of the greater omcntum IRON tine stomach ana
esl,ecialy after some dellcate auhtoIohs poI",Si'
the stoma h and the part oil ne pelI.oou" h. the
ing the blood mass had been bro@en down oy tlo
hngers From the relations OF the mars d. mus
seen il was believed that the hemoirhaBe hau Pr"
ceeded from of the mesenerlc arteries, yut 40 u
was Gear that a minute dissection "p'iu VI
CURED 10 determine the particular pIauVh i' i 80
AZ vas agreed that tue lnhlrated llssues anu W
adjoining soft parts shOuIu oo Pio''i' w.
On the examination and dissection made IN ac-
coTdance with TINS agreement IL was iouuu 'hd' w..
fatal hemorrhage proceeded from rent, nearly
four-tenIhs I an mCn long. IN the mann uuhh ..
the splec artery, tHO inches ana nan 10 tr lcIt
of the cpliac axis. This rent must nave ocCuIIcu
AT least several days BEFORE death since me
edges IN the silt IN the vessel were unlted Dy lln
aQnesons 10 the surrounding conhecliNe uN>u'' tio
FORMING au almost continuous wan DouhulhB 'hc
adiuiulup portion of the blood ClOt. Moreover tue
perIpheral portion OF the clOt III TINS NlciIy M~S
disposed III pretty urn cohcehtilC I"S eio, 80,
turue lounu that the cyst below the lower hNi gu
of The pancreas, winch lhe bullet was lo'hu wac
81 ualed three Incnes ana nan 10 inc lel' VI 'n0
cGllac axis. ,.l Lio,I i,st Jc-
scrlbr,l another ABOUT the sZe Oh walnut was
found in tine greater Omentum near INC spieni, "a
IremIty OF Inc stomach. The communication
any between this and the larger hclhOIlh'sN mass
could not be maze out. ... l.,
The examination the fhOraclc ylsceIa rt'u t'da'
follows: The ncart weighed eleven ounccr. ne
cavities were entirely empty eAc.PV tuo ~ 80,
lcic III which - lew sh eds o. soil reuuiTh, ,oahu
lated blood adhered sGrr,ca !" NJ INC the ' mira,
wave there were several spots OF idI'J
degeneration: with this exception the cardiac
valves Were normal. Inc muscular ar tissue OF the
heart was soft and tore easily Anew spots OF fatty
dcgeneratlon existed in the Inning membrane OF the
aorta Just above the semilunar valves aud slender
c3t of ieGmn Was S,do5 oup "boui two in a"b
from these valves for the removal OF the heart;
On the right de slight peull &c ElheSlons existed
between the surface o. the lower lobe OF the
lunp and the costal pleura and irm adhcslOns be-
tween the anterior edge of the lower loUc, the peri
cardum and the diaphragm: ~
posterior part If the ssurc between its upper aud
lower lobcs was congentally incomplete; The
lower lobe of the right lung wa, hypOsatically
gcsted and considerable portions especially toward
its base, were the seat of broncho-pneumonia. The
bronchial tubes contained a considerable quantity
of stringy, mucO pus their mucous surface was
reddeued BY catarrhal bronchitis. The lung tissue
was euematOusI
On the left side the lower lobe of the lung was
bound behind to the cOstal pleura, above TO the up
per lobe and below TO the diaphragm by pretty
irm pleurtic adbcsions. The lc!t lung weighed
u ounces. The condition of its bronchial tubes,
and of the lung TISSUE was very nearly
the same on the rgnt side, the chief difference
being that the area OF broncho pneumonia in the
lower lobe much less extensive IN the left lung
than III the right. In the lateral part of the lower
lobe of the lett lung, and about an inch from il =
pieural surface, there a group of four minute
areas of gray hcpatizat0n, each about One-eighth
of an inch in diameter There we're no Infarctions
and no assesses IN any part OF tho lung tissue.
The surgeons assisting at tho autopsy IMAM
imOusy OF he opinion that on reviewing the history
of the case in connection with the autopsy il is
quite evident that the different suppurating sur
laces and especially the fractured spongy tissues of
the verebra, furnish sufficient explanation OF the
septic conditions which existed during life.
About an hour fter the pOst-morcin examination
was completed, tho physicians named az the com
mencement of this report assembled for further con-
suitatiOn in All ady DINING cottage. brief outline
pf Inc Of mi