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June 30, 1888

RECTAL INSUFFLATION OF HYDROGEN GAS AN INFALLIBLE TEST IN THE DIAGNOSIS OF VISCERAL INJURY OF THE GASTRO-INTESTINAL CANAL IN PENETRATING WOUNDS OF THE ABDOMEN.Read in the Section on Surgery, at the Thirty-ninth Annual Meeting of the American Medical Association, May, 9, 1888, and illustrated by three experiments on dogs.

JAMA. 1888;X(26):807-811. doi:10.1001/jama.1888.02400520011001a

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Abstract

(Concluded from page 777.)

IV.—HYDROGEN GAS IS INNOCUOUS AND NON-IRRITATING WHEN BROUGHT IN CONTACT WITH LIVING TISSUES AND IS PROMPTLY REMOVED BY ABSORPTION.

a.—Peritoneal Cavity.

Experiment 53—Dog, weight 45 lbs. A circumscribed spot to the right of the linea alba was shaved and thoroughly disinfected and through this space a well disinfected medium sized trocar was plunged into the peritoneal cavity. To the cannula of the trocar the rubber tube of the inflation balloon charged with hydrogen gas was attached and the whole peritoneal cavity filled with gas by compressing the balloon. About four litres of gas were injected. No gas escaped upon the withdrawal of the cannula and the puncture was sealed with cotton and iodoform collodium. The animal appeared to suffer but little pain, and the next day the tympanitis had disappeared and the dog was as frisky and lively as before the inflation. Two days after the

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