. Photographs of surgical cases and specimens . ing thediaphragm near its anterior border, leaving an opening two inches inlength through which a portion of omentum had escaped into the lowercavity of thorax, perforated the splenic end of the stomach, leaving aninterval of three inches between the openings; thence, it passed throughthe transverse colon, and foecal matter, with a large amount of escapedblood, was found in the abdominal cavity; it then struck the left anteriorside of the fourth lumbar vertebra, grooving deeply its left border, passedthrough the spinal cord to its left, surface,


. Photographs of surgical cases and specimens . ing thediaphragm near its anterior border, leaving an opening two inches inlength through which a portion of omentum had escaped into the lowercavity of thorax, perforated the splenic end of the stomach, leaving aninterval of three inches between the openings; thence, it passed throughthe transverse colon, and foecal matter, with a large amount of escapedblood, was found in the abdominal cavity; it then struck the left anteriorside of the fourth lumbar vertebra, grooving deeply its left border, passedthrough the spinal cord to its left, surface, fractured the left horizontaland spinous processes of the third lumbar vertebra, and was found to the right of the second lumbar vertebra, underlying the integu-ment, and fascia of that region, very much changed from its original injured vertebrae are shown in Specimen 8748, Army Medical Museum. Photographed at the Army Medical Museum. BY ORDER OF THE SURGEON GENERAL: GEORGE A. OTIS, Asst Surg. U. S. A., Curator A. M iiiijiii rain«iiM m* Prepared under Die supervision of ; guRGEON pEORGE A. OTIS U S. ABV ORDER OF THE SDRGEON GENERAL (surgeon Penerals Office, ^rmy/4edical/4useu* ARMY MEDICAL MUSEUM. Photograph No. 219. Hi/pertrophied Prostate Gland aridBladder, containing twelve large Uric Acid Calculi. This specimen was taken from a private patient, aged sixty-seven, anative of Frederick. Maryland, who died August 3, 1857. Besides thelarge concretions, the bladder contained numerous hemp-seed calculi,many of which were discharged during life. In 1849 more than threehundred were discharged through the fenestra of a very large lobes of the piostate are much enlarged. On the right and middlelobes are several ulcers. The walls of the bladder are much specimen measures as follows: from fundus to membranous portion ofurethra, six inches; across fundus and body of bladder, in which thecalculi are contained, four and one-


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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectwoundsand