The evening times. [volume] (Washington, D.C.) 1895-1902, 1901-10-26

M3tZlnEe~, NJ d. p n RiNey. MedlCa
Inspector. Z. S. Nay. Matthew u. Mann
H. d.. Herman Myut,r. ~. D.. Roswell
Park H. ID Eugene Wasdin. surgeon
Z. 5. Marine Hospital Service. Charles g
Stockton. 81. D.. Edward G. Jlu,way NJ
b., ~. ". Johnston. N. D.: w T. Ken.
daH. surgeon L. s. Army. Charles Carey
NJ d, Edward L. Muuson. assistant sur
seon, T.. :. Army. and Hermauus L
Baer. NJ. ID.
The Anatomical Diagnosis.
Tho anatomical diagnosis by DIT GAY
lord. IN the main very technical in char
acter- concludes with the following state
m,ut:
I'm summing up the microscopic and
microscopic findings of the autopsy.
tine following MAY Doe stated. The
original injuries to thn stomach wall
had been repaired hy euture ana This
repair seems tr have been effective.
The stitches were IN place and the
openings IN the stomach wall tnectuaI-
ly closed Firm ADMISSIONS were form
eel b'Ih upon the anterior and uCstori-
COT walls of the stomach. which re-
enforced these sUtur,s. The uccrnStS
surrounding the wounds In the StOm-
aCU HU not seem To De the result of
am. -'''-o'Nu-d cause Il Is highly
prnhahl, that they were practically
terminal I'm their nature and that the
FDut ton developed tS a result of low
cred vitality In this connection there
ls uo evidence 10 indiclt, th3L the re-
noNal of the omeutum from the great
rT curvature and The close proximity
OF Doth of these wounds 20 this point
had any effect i'm bringing about the
necrosis of the gastric wall. although
Clrcuiatory disturbances may have
been factor
THE fact that the neCrOtic tissue
had not been affected by digestion
strongly indicates that the necrosis
was developed but shortly before
death The excavation in the fat be-
hind the stomach must be largely at
tribuUed To the action Of the missile.
This may have been the result OF uE-
usual rotation Of a nearly spent ball
or the result Of simple COnCuSSion from
the ban passing into mass of soft
tissues. Such effects are not unknown.
The fact that the ball GTazed the SUI
peTioT aspect of the left kidney. as
shown by the microscopic l1vcstEa-
ton of that organ. indicates the d.
rectiou of the missile. which passed fin
a line from the inferior border Of the
stomach To the tract i'm the fat i'm
mCdiately superior To the kidney
There was no evidence that the left
adrcnal gland was injured
The injury TO the panCreas must be
attributed to indirect rather than d.
rect action of the missile. The TACT
that the wall Of tn" cavity Is lined by
tihTin. well advanced IN organization.
indicates that the INJURY 10 the It's
sues was produced at the time Of the
shooting The absence of bacteria
from the tissues indicates thar the
wound was not infected at the time Of
the shooting and that the closure OF
the po-.griOr gastric wound was Of
1,Ctual The necrosis # The pdutr-aS
seems 10 as of great Importance. The
fact that there was no fat utcru~rs
Iu the Uai.llETuyOt OF this organ i'm
dicateS that there was no leakeso of
paucreatic fluid into the surrounding
tissues II is possible that there was q
leakage Of paucT.afic fluid into the
cavity behind the stomach. as the con-
tents of this Cuvit~ consisted Of a
thick, er-yiSh fluid containing frag-
msutS uf connective tissue In this
case tEe wall Of fbrin would have been
sufficient 90 prevent the paucreat1C
fluid from coming into contact with
the adjacent fat The extensive n-CrO-
SIS Of the pancrs2s would seem 10 be
an important factor in the cause Of
death. although IL has never been deli
Iitcly shown how much destruction Of
this organ is necessary to produce
death There are eNperims nts upol
animals upon record in which tho ami
nal seemed 20 have died as result Of
not very extensive LESSONS Of this or
gan.
The wound I'm the kidney IS Of
slight importance eNcep. as iudICat-
irg the direction taken bv the missile.
The changes IN the heart. as shown
by tho microscopic inspection and the
microscopic examination. indicate that
the condition OF this organ was an
important factor The extensive
brown atrophy and difuse fatty de-
generation Of the muscle. but esDcCi-
ally the extent to which the pericard-
iai fat had Invaded the atro7hic mus
Gle hbres Of the right ventricUlar wall
sufficiently explain the rapid pulse and
lack of Response 81 this organ TO
stimulation during life