JAMA 100 Years Ago Section Editor: Jennifer Reiling, Assistant Editor.
The late results of gunshot wounds are elaborated in some thirteen cases
of injury from the Mauser bullet examined by Leale, and who finds that they
are far less severe from modern projectiles than from those formerly used,
and that the change to the use of the small bore rifle has proven to be a
great blessing in modern warfare.
In a case reported by Roberts there was a self-inflicted pistol-shot
wound in the front of the left breast, which passed through the depending
mammary gland and then into the thorax. The bullet had missed the heart, perforated
the diaphragm and injured the liver as it appeared at the time. There was
no excessive shock, the pulse was slow, respiration rapid and temperature
subnormal. Later, however, the temperature rose together the respiration and
pulse and the patient died after having been under observation about thirty-two
hours. The post-mortem revealed no injury to the thoracic viscera or intestines,
but a groove-like wound was seen in the lower surface of the stomach, not
perforating that viscus but perforating the upper end of the kidney, the bullet
being found imbedded in the muscles of the back, opposite the first lumbar
vertebra. Death was apparently due to slow bleeding of the wounded kidney
and septic conditions of the wounded structures. The kidney wound was not
suspected during life and operation was deemed hardly necessary.
Gunshot Wounds.. JAMA. 2001;286(5):510. doi:10.1001/jama.286.5.510