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January 23, 1886


JAMA. 1886;VI(4):88-91. doi:10.1001/jama.1886.04250010096003

Penetrating wounds of the abdominal cavity, with injury to any one of the contained viscera, may be considered if not necessarily fatal, yet always doubtful of favorable termination under any course of treatment. The probabilities of not one, but several of the abdominal organs being implicated in the injury, the danger from surgical shock, concealed hæmorrhage, and local or general peritonitis, are considerations of extreme gravity. This paper is intended to be more suggestive than discursive, and will be confined to a single division of the subject, namely: the management of wounds of the intestine, lacerated or incised, from missile, or pointed instrument, penetrating or traversing the abdominal cavity.

Until a very recent period the history of these cases is a chapter of dismal failures. A minute analysis of the literature of the subject would be full of instruction and interest, but it is too extensive for a paper like

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