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Article
January 1, 1929

REMOVAL OF BULLET FROM THE PERICARDIUM UNDER LOCAL ANESTHETICREPORT OF A CASE

Author Affiliations

ATLANTA, GA.

Arch Surg. 1929;18(1_PART_II):475-480. doi:10.1001/archsurg.1929.04420020297018

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Abstract

My reason for reporting this case is that it is one of more than usual interest. The thorax was penetrated by two bullets, either of which might have caused death. The first perforated the lung near the hilum and evidently injured one of the larger blood vessels, resulting in a massive hemothorax, pneumonia, and later, in empyema. The other injured the pericardium, resulting in pericarditis, and finally, in a localized abscess of the pericardium. The patient suffered from primary shock, internal hemorrhage and infection, but finally recovered.

REPORT OF A CASE  History.—A man, aged 27, was admitted to the hospital on March 30, 1923, with two penetrating gunshot wounds of the left side of the chest; one had its point of entrance in the third interspace in the nipple line; the other, in the fifth interspace and slightly to the inner side of the nipple line. There were no

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