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November 28, 1896


Author Affiliations


JAMA. 1896;XXVII(22):1146. doi:10.1001/jama.1896.02431000022002f

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July 24, 1896, I was called into the country to see a 14 year old German boy, accidentally shot in abdomen with a pistol from a distance of 8 feet. He was quite weak; not much pain unless by pressure, and some dullness over lower abdomen; had vomited twice, temperature 97.5 degrees, pulse 85. The ball had entered 2½ inches from umbilicus at a point 1½ inches below a line from umbilicus to the anterior-superior spine of ileum. The sanitary conditions were most unfavorable, the family temporarily living in a 10 by 10 feet granary, with a dirty hen house attached.

I informed the family an operation would be imperative and had an abundance of water boiled and returned to my office for assistance, instruments and dressings. Being unable to obtain surgical help I invoked the aid of two non-professionals and returned, put the boy on a table out of door

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