JAMA 100 Years Ago Section Editor: Jennifer Reiling, Assistant Editor.
CURRENT MEDICAL LITERATURE.
In Vaughan's series of 14 cases of gunshot wounds of the abdomen there were 8 cases of wounds of the small intestine, 6 of the large intestine (5 of the colon and 1 of the rectum), 5 of the diaphragm and pleura, 5 of the liver, 2 of the stomach, and 2 of the kidneys. Several patients had a number of wounds in one organ, while in others several organs were wounded. One patient had 11 bullet holes in the intestine, while another had perforation of the liver, stomach and colon. One of the patients was not operated on, 1 was operated on late, and 12 were operated on in from one to twenty-eight hours after the reception of the injury. Nine patients died, a mortality of 64 per cent. In 6 cases the cause of death was hemorrhage, in 1 case peritonitis, in 1 case exhaustion, and in 1 case shock or the anesthetic, or both. Vaughan says that he knows of nothing more which could have been done to save the 6 patients who died from hemorrhage, except to have operated sooner.
Gunshot Wounds of Abdomen.. JAMA. 2006;296(5):598. doi:10.1001/jama.296.5.598-d