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January 21, 1888


JAMA. 1888;X(3):78-80. doi:10.1001/jama.1888.02400290014002

Prolonged Survival after Extensive Fracture of the Pelvis.  Dr. S. D. Howard, of Elk Grove, Cal., reports the following case: On October 31, 1887, T. W. was working in a gravel pit when the bank, which rose above him about twenty feet, caved. A mass of earth, that must have weighed about 300 pounds, struck him over the lumbar and gleutal regions, throwing him against the hub of a wagon wheel which impinged on the pelvis in front. He was taken out by his companions and brought to town in a cart. When seen half an hour later he was suffering from shock and complaining of intense pain in the right ileac region, any move-of the parts being attended with agonizing pain. An extended examination was impossible; I could, however, feel distinct crepitation on the right side, and concluded that there was a fracture of the ilium. Patient was

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