Medical jurisprudence, forensic medicine and toxicology . or wound of the liver is one of the causes of the fatality ofwounds and injuries of the abdomen. The fatal result may beand often is due to hemorrhage; in other cases it is due toshock or the occurrence of peritonitis. Wounds of the liverheal readily and hemorrhage is arrested at once, as a rule, bythe approximation of the edges. There may be little blood inand about the wound, but it collects in the right iliac region orin the pelvis and is not wholly coagulated. Unless the woundor rupture involves the vena cava, portal vein, or a larg
Medical jurisprudence, forensic medicine and toxicology . or wound of the liver is one of the causes of the fatality ofwounds and injuries of the abdomen. The fatal result may beand often is due to hemorrhage; in other cases it is due toshock or the occurrence of peritonitis. Wounds of the liverheal readily and hemorrhage is arrested at once, as a rule, bythe approximation of the edges. There may be little blood inand about the wound, but it collects in the right iliac region orin the pelvis and is not wholly coagulated. Unless the woundor rupture involves the vena cava, portal vein, or a large branchof either of these, the hemorrhage is apt to be slow and theMed. Jurisprudence, 11th Amer. Ed., 1892. RUPTURE OR WOUNDS OF THE ABDOMINAL VISCERA. 583 victim may survive hours or even days, except for active exer-tion or repeated violence. Two cases illustrating the slownessof the hemorrhage have occurred in Guys Hospital. In one1the man, showing no urgent sjmptoms at the time, was sentaway, and died a few hours later in a police-station. In this. o Fig. 21.—Ruptures of the Liver from a Fall from a Considerable Height, causing Imme-diate Death. case the liver was ruptured nearly through its thickness, and abasinful of blood had been effused, causing death. In the othercase,2 which occurred to Wilks, the patient survived the acci-dent ten days, and Taylor * cites a case which was reported toTimes and Gazette, 1864, Med. Jurisprudence, 11th JMedii., 527. - Med. -Chir. Rev., 1836, p. 296 »Med. Amer. Ed. Jurisprudence,1892, p. 347. 584 WOUNDS—WOOLSEY. have ended fatally eight j*ears after the accident. As a rulethe injury is fatal, without treatment, within forty-eight being immediately fatal as a rule, the victim of a ruptureor wound of the liver can walk about, and may be capable ofmore or less severe muscular exertion after the injury, thoughthe fact of such exertion has sometimes been used by the defenceto prove that the rupture was not due to the particul
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