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March 19, 1887


JAMA. 1887;VIII(12):323-324. doi:10.1001/jama.1887.02391370015005

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Traumatic lesions of the liver have but a small place in surgical literature. When deep, especially, they are usually considered necessarily fatal on account of the resulting hæmorrhage, and on account of the peritonitis which will most probably result from the hæmorrhage. There is a reported case in which in a deep stab wound of the liver followed by hæmorrhage sufficient to distend the abdominal cavity, laparotomy was performed, the peritoneal cavity cleansed, and sutures placed in the liver wound. The patient rallied from a state of profound shock and collapse, and remained in an apparently good condition for about twelve hours, and then died suddenly. The peritoneal cavity was clean, the liver wound was closed, and there were no signs of peritonitis. According to Elder the mortality of wounds of the parenchyma of the liver is 78 per cent. for incomplete ruptured wounds, 39.7 per cent. for shot wounds,

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