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August 9, 1890

GUNSHOT WOUNDS OF THE ABDOMEN; WITH CASES.Read in the Section of Surgery and Anatomy at the Forty-first Annual Meeting of the American Medical Association, Nashville, Tenn., May, 1890.

JAMA. 1890;XV(6):203-206. doi:10.1001/jama.1890.02410320005001a

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J. G., æt. 15, was shot in the abdomen at 7 p.m. on February 8, 1890. The wound was one inch and a half to the left of and on line with the umbilicus, and was made by a 32-calibre ball. The pistol was discharged at close range. I saw him at ten P.M. He was then in bed with the lower extremities flexed; vomiting was frequent, and he complained of great abdominal pain; the facial expression was anxious, and the abdomen was hard and retracted; pulse was over a hundred and rather weak; shock was evident but not extreme. The wound was not probed, but it was plain that the cavity had been entered and all the symptoms pointed to visceral wounds. Laparotomy was indicated, and at eleven o'clock, by lamp light, I operated, assisted by Drs. Bryan, Keller and Scott. Chloroform was administered and several times during the

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