yet no disturbance of the brain has followed either immediately or
consecutively. The opinion originated from the circumstance of soldiers
having been found dead without any evidence of injury; but bones are
often broken and comminuted by an indirect blow, or by a spent ball,
without any breach of surface or external sign remaining; internal
injuries indeed—rupture of viscera—more than sufficient to cause
instant death, are thus inflicted without any apparent external læsion.
The course of a ball in the body is often very strange, depending
on the force with which it is projected, or the resistance which is
opposed to it, and on the position of the struck part. Balls often pass
under the integument almost completely round the head or chest, having
first struck the bone at a very oblique angle. Frequently they remain,
lodged along with part of the clothing which they thrust before them.
In such cases, they may be immediately removed, their exact situation
being previously ascertained by external examination, or by means of a
probe. They can generally be extracted through the aperture by which
they entered; but if situated superficially, and at a distance from the
opening, this will be more readily accomplished through an incision
made upon them; if allowed to remain, suppuration will occur in the
neighbourhood, the surrounding cellular tissue will be condensed, an
abscess will be formed containing the foreign body, and by the process
of absorption proceeding in the parts external to the abscess, the
ball will at last reach the surface, and be discharged. The track is
often so extremely tortuous, as to render it impossible to ascertain
the situation, or even the existence of the foreign body, which greatly
impedes the operation; and, in other instances, it may be necessary to
allow the ball to remain undisturbed, on account of its being placed
near important parts, which might be injured by any attempt at removal.
Foreign bodies often remain lodged in fleshy or membranous parts for
years, having become enveloped in a dense cyst, and having ceased to
produce any great irritation. In consequence of the force with which
they have been projected, and the resistance which has been opposed
to their progress in the body, musket-balls, when extracted, either
immediately after the infliction of the injury, or after a considerable
time has elapsed, are seldom found to retain their globular form, but
are flattened and ragged, and not unfrequently completely divided by
the bones on which they have impinged. A bullet may be divided into
numerous fragments on a bone, and part may enter into the osseous
substance, whilst other portions penetrate in all directions into the
soft parts, and, though sharp and irregular, may remain long in the
dense cellular cyst which forms over them, without producing pain or
inconvenience. There will necessarily be suppuration, and generally
discharge of dead matter, from gunshot wounds, in consequence of the
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