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JAMA 100 Years Ago
August 1, 2001

Gunshot Wounds.

Author Affiliations

JAMA 100 Years Ago Section Editor: Jennifer Reiling, Assistant Editor.

JAMA. 2001;286(5):510. doi:10.1001/jama.286.5.510

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.

Gunshot Wounds of the Kidney.

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.