The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . , is likewise re-ported in the same volume, on page 248. (Case 726.) The lower part ofthe spinal cord was softened, and of a dark appearance. In this case, too,the missile after striking the sacrum lodged. The very interesting specimen which is represented by Fig. 807, was obtained atthe autopsy of a soldier, aged 2G, who was wounded by a conoidal musket-ball atChancellorsville, May 3, 18G3, and died at Douglas Hospital nineteen days afterward,apparently from septicaemia. The case is also


The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . , is likewise re-ported in the same volume, on page 248. (Case 726.) The lower part ofthe spinal cord was softened, and of a dark appearance. In this case, too,the missile after striking the sacrum lodged. The very interesting specimen which is represented by Fig. 807, was obtained atthe autopsy of a soldier, aged 2G, who was wounded by a conoidal musket-ball atChancellorsville, May 3, 18G3, and died at Douglas Hospital nineteen days afterward,apparently from septicaemia. The case is also remarkable lor the absence of peritonitisand paralysis.* In the next example the missile lodged in the spinal canal, and, notwith-standing that thecauda eciuina was compressed by it (through the meninges),the sensibility and motility of the lower extremities were not affected :— Private Michael 11. was wounded June 27, 18G2, at Gainess Mills, Virginia, anddied of exhaustion on December 27. The wound closed, and there were no symptoms « Ibid. « Ibid. INJURIES OF TUE SACRUM AND COCCYX. 865 Fig. Showing the Racrnra andlast lliree lumbar vertebra,with a ball lodged in thespinal canal opposite thefifth lumbar vertebra. (, A. M. M.) for about three months. On October 20, after dissipation, he complained of pain in theleft knee, at times very intense, depriving him of rest. The wound reopened and dis-charged freely ; a slough formed over the lower part of thesacrum, three or four inclies in diameter, and so deep as to laythe bone bare. A lumbar and psoas abscess developed itself;the pain in the left knee increased greatly, and the left h*g be-came swdllcn and tender to pressure. The abscess in the loinwas opened by a valvular incision, and three pints of pus weredischarged, with great relief to the pain in the leg, etc. IJoth legsbecame swollen about December 2(), and he died as stated al)ove,exactly six months after the occurrence of the casualty. At notime was there


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