A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
Redan, on September the 8th, by two grape–shot, at the back of the
chest. They entered close to the spine. One of these balls lodged in
the inner part of the right arm, below the axilla, whence the writer
excised it.
Penetrating fragments of shells, if projected edgeways, almost
invariably lodge. In these cases, the appearance of the wound seldom
indicates to the observer the true size of the body which has caused
the injury. At an early period of the battle of the Alma, a piece of
shell, about four pounds in weight, lodged in the buttock of a soldier
of the 19th Regiment; and, to extract it, an incision had to be made
nearly equal in extent to the length of the original wound. In this
instance the concave aspect of the fragment—evidently, by the nature of
the curve and thickness, a portion of a very large shell—had adapted
itself to the parts lying beneath, while its convex surface so agreed
with the natural roundness of the parts above, that it would have been
impossible to have arrived at a knowledge of its lodgment, from any
change in the external appearance of the parts. Examination by the
wound alone gave decided information on the question. Such fragments
become very firmly impacted among the fibers of the tissues in which
they lodge, and the effused blood fills up inequalities, and rounds
off edges that might otherwise show themselves prominently; so that,
without due care, their presence is not unlikely to be overlooked at
first examination. Dr. Macleod, of Glasgow, mentions that he saw a case
at Scutari, in which a piece of shell weighing nearly three pounds was
extracted from the hip of a man wounded at the Alma, which had been
overlooked for a couple of months, and to which but a small opening
led.[1] But bodies of still more irregular form may lodge in this
region, and escape notice. A soldier in a battery in the Crimea was
wounded, during a heavy artillery fire, in the left hip. A twelvemonth
afterward he was in the General Hospital at Chichester, with a narrow
sinus, which allowed a probe to pass deeply among the gluteal
muscles. On cutting down in the direction indicated, a piece of stone
was extracted, upwards of four ounces in weight. This man had passed
through several hospitals before his arrival at Chichester.
Bullets scattered from canister or spherical case not unfrequently
lodge; apparently in consequence of the direct velocity received from
the primary discharge being disturbed, and lessened by the force of the
secondary explosion of the case in which they were contained.
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