Gunshot injuries : how they are inflicted : their complications and treatment . lesion in wound of mesentery in Thornburgh case. placed against body, olive drab woolen shirt and cotton undershirtperforated by bullet. When received at hospital patient was so much shocked that thesurgeons refrained from doing a resection of the wounded wounds of the colon were inverted, blood-vessels tied, and thewounded ileum and mesentery were covered by omentum as shownin Figs. 120, 121. Fig. 122 shows the protruding gut and a piece ofomentum. Fig. 119 depicts the character of the lesion of the
Gunshot injuries : how they are inflicted : their complications and treatment . lesion in wound of mesentery in Thornburgh case. placed against body, olive drab woolen shirt and cotton undershirtperforated by bullet. When received at hospital patient was so much shocked that thesurgeons refrained from doing a resection of the wounded wounds of the colon were inverted, blood-vessels tied, and thewounded ileum and mesentery were covered by omentum as shownin Figs. 120, 121. Fig. 122 shows the protruding gut and a piece ofomentum. Fig. 119 depicts the character of the lesion of the denuded GUNSHOT WOUNDS OF THE ABDOMEN 253 and lacerated intestine. The patient was drained front and rearand placed in Fowlers position with Murphy drip for twenty-fourhours. There was at no time any infection and a perfectly normalconvalescence and recovery were the result. It is difficult to conceive how the ball and the explosive chargecould have traversed the abdominal cavity as indicated in the historyof this case without perforating the intestinal tube except upon the. Fig. 121.—Shows omentum covering lesion in wound of mesentery in Thornburgh case. theory of displacement by the pressure which was exerted upon thetissues in all directions. That the intestinal area can be traversedby a rifle bullet without opening the small intestine seems also to havebeen demonstrated to the satisfaction of the staff of A Civilian WarHospital. The authors quote the case of Mr. Lenthal Cheatle as fol-lows: A private was shot right across the abdomen in a fight to thewest of Pretoria, and died forty-eight hours later. The bullet had enteredlow down in his right lumbar region, and had emerged near the leftanterior superior spine of the ilium, where it finally lodged, after pass- 254 GUNSHOT WOUNDS ing through the skin for half its length; it was a Jeffreys sportingbullet. The post-mortem examination showed that the projectilehad passed through the cecum transversely, close to its posterior
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