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November 15, 1919

GUNSHOT INJURY OF THORAX WITH EXTRUSION OF THE ENTIRE STOMACH AND LACERATION OF SPLEEN

JAMA. 1919;73(20):1527. doi:10.1001/jama.1919.26120460002012a

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Abstract

The reports of many interesting and remarkable instances of thoracic and diaphragmatic war injuries will, no doubt, shortly appear in the literature; but the case to be reported will illustrate what can happen in ordinary civil existence. This fact alone offers my excuse for reporting it at this time.

REPORT OF CASE 

History.  —H. M., a boy, aged 15, Oct. 30, 1918, with several companions, was out hunting with a shotgun. The lad had climbed a steep embankment, and while he was on his knees, in the act of drawing up the gun, the muzzle toward him, with his left hand, it was discharged. A great hole was torn in the anterolateral aspect of the left side of the thorax. With assistance, the boy managed to walk about 600 feet to the nearest house, where he was seen by me about twenty minutes later.

Examination.  —The lad was in considerable

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