The Wheeling daily intelligencer. [volume] (Wheeling, W. Va.) 1865-1903, 1881-10-03

HtAAe HutAAHk NuuAtt w heSll VI ipAt " At'%a
cate the presence oi bullet, either in that
region or elsewhere.
The abdominal yiscea were then careful
y removed from the body and placed in
suitable vessels and examined seriatim with
the following result; The adhesiOns be,
tween the liver and transverse colon proved
to have bound an absCess cavity between
and under the surface OF the liver; the
transverse meso.cOlOn which involved the
gall.bladder, and extended to about the
same distance on each sidcof it, measuring
ST.; inches transyerely, and four inches
from before backward This cavity was
lined by thick pyogenic membrane,
which completely replaced the capsule OF
that part OF the under surface Of the liver
occupied by the abscess, II contained
about two ounces OF greenish yellow fluid,
Il mixture OF pus and hillary matter,
This abccss did not involve any portion
OF the substance Of the liver, except the
surface with which 1t was in contact, and
no communication could Undetermined be-
tween it and any part OF the wound, Some
recent peritoneul Gdhesi0nsexisted between
the upper surface OF the right lobe OF the
liver and diaphragm, The liver was larger
than normal, weighing eighty.four ounces,
Its substance was firm, but Of yellowish
color on its surface, and Throughout the in
terror OF heorgan from fatty degeneration,
No evidence that II had been penetrated by
the bullet could be found, nor was there any
assesses or infarCtions in any part OF its
tlssl Q ThespIeen was connected with the
diaphragm by Ndheslons. There were
several rather deep COngenial nsures in its
marLins, giving it lobulatGd appearance,
1t was abnOmalIy large, weighing eigh-
teen OnnCes, OF very dark, lake red color,
both on surface and on section. Its par.
enchyma was soft and habby, but con-
tanned no abScesses or inarCtions, There
were some recent peritOneNl adhesiOns he.
tween the posterior wall Of tho stomach
and posterior abdominal particles. With
this exception no abnormaliliGs were dis.
covered In the stomach or intestines, nor
were any other evidences OF general or To-
cal peritonitis found besides those already
specified, The right kidney weighed six
ounces, the left kidney seven. Just be-
meath tho capsule Of the left kidney, at
about tho middle Of It's convex border,
there was u little abseess onG-thirl Of M
inch In diameter. There were three small
serous Cysts on the convex border Of the
right kidney Just beneath its capsule. In
all other respects the tissue OF both kid
neys WIS normal In appearance and In
texture. Tho urinary bladder WINS emnty.
Behind the right kidney, after the removal
OF that organ from the body, the dilated
track Of the bullet was tlissected into. 1t
was found TINT from the point Mt which II
had fractured the right eleventh rib, 81
inches to the right OF the vertebal spine,
the missile Ind gone to the left obliquely
forward, passing through the body of the
first lumbar vertebra. and lodging in the
ndipose connective tissue Immediately be-
low the lower border Of the pancrcas, about
two inches and hNlf to the left Of the
spinal column and behind the peritOneum.
1t Ind become completely enCysted. The
track Of tho bullet between tic point ut
which 1t had fractured the eleventh rib and.
that ut which II entered the first lumbar
yertebra, was considerably dlated, and pus
llad burrOwCd dOwnwartls through the
adiposo tissue behind the right kidney, and
thence lad found Its way between the
peritOneum and the right lilac fasciG, max
ing descending channel which extended
almost to the groin.
The adiposO tissue behind the kidney, in
the vicinity Of this descending channel, was
much tliCkened aud condensed BY iliama.
tiOn. In the channel, which wis found
almost free from pus, lay the flexible cath
eter introduced into the wound ut the COM
menCement Of tho autopsy. It's extremity
was found doubled upon itself beneath the
peritoncum, repOsing upon the lilac fasCia,
where the channel dilated into n pouch OF
considerable size. This long descending
channel, now clearly seen to have been
caused by the burrowing Of nus from the
wound, was supposed, during life, to have
been the truck Of the bullet. Tho last dor
sOl, together with tho first and second lum.
bar vertebra and tho lust rib, were tlIon
removed from thebOdy for more thorough
examination, When this examination was
made It was found that the bullet had pen.
ctrOtCd the first lumbar vGrtebnl, IN the up.
per part Of the right side Of the body. Tile
aoNIture by which It entered involved the
inter.vertebral cartilage, next above, and
was situated Just below and anterior to tho
intervertrebal feramen, from which It's up.
per margin was about onc.quarter OF an
inch distant.
Passing obliquely to the left and forward
through the upper part OF tie body Of the
first lumbar vertcbru The bulletemGrged by
IN aperture, the centre OF which WIS about
llalf IN inch 10 the ef5 Of the melan line,
and which also involved the Interyertcbrai
cartilage next above the connective tissue.
The body OF the first lumbar vertebra was
very much comminuted and fragments
somewhat displaced. Several deep assures
extended from tho truck Of the bullet into
the lower part OF the. body of the
twelfth dorsal vertebm, Others extended
through the first lumbar vcrtGbra into the
inle.vertebral cartilage, and the second
lumbar yertUbra. Both this cartilage and
the next above were partly destroyed by
liberation. A number Of minute frng.
ments OF lumbar yGrtebrG Ind been
driven into adjacent tot pnrts.
It WINS further found that the right twelfth
rib was also fractured, at u point one inch
and quarter TO the right Of the transverse
process Of the twelfth dorsal vertcbra. This
injury had not been recognized during life.
On slwing through the vertebrp little
10 the right Of the medium line II was
found that the spinal canal was not In
vOlved by the track Of the ball. The spinal
cord and other contents Of this portion Of
the spinal canal presented no abnormal
appearances Tile rest Of the spinal cord
was not examined. Beyond the first lum.
bar yorebrn The bullet continued to go to
The leit, passing behind the paD1reas
to the point where Il was found, Here II
was enyelopcl in firm cyst OF Uonnec.
tive tissue, which contained beside mi
mute quantity Of inspissated somewhat
Gh6csy pus, which formed II thin layer
oyer portion Of the sttriace Of the lead.
There was also q bluck shred adhering to
part Of the cyst wall, which proved on
microscopical examination 10 lie the re-
mains Of blood rlot For about an inch
i,0n this cyst the track Of the ball behind
the papCTeas was completely obliberated
by tliehealing process. Thentea as far back
ward as the body Of the first lumbar yerte-
/ ka. is,als ,i.na niiaI ...llf.