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October 13, 1888

A CASE ILLUSTRATING THE EFFICIENCY OF DR. SENN'S HYDROGEN-GAS TEST FOR PERFORATION OF THE ALIMENTARY CANAL.

JAMA. 1888;XI(15):521-522. doi:10.1001/jama.1888.02400670017001e

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Abstract

Recognizing that whatever illustrates any new method in surgery is of advantage to the profession, I take pleasure in reporting the following case:

August 13, 8 P.M., I was called to see J. Williams, a strong man æt. 49 years, and City Marshal, who had been shot about two hours before. Dr. Shaw had previously reached the case and administered a full dose of morphine. Found the countenance anxious, breathing slightly accelerated and pulse 80, temperature not taken, but about normal, pain and jactitation considerable. The ball, from a 42-calibre pistol, struck the abdominal wall on a level with and 4 inches to the left of the umbilicus. There was considerable hæmorrhage but no escape of gas from the wound. The finger would not enter it, but the probe followed it for about 3 inches toward the umbilicus when, in the position the body occupied, it refused to go any

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