The Life and Public Services of James A. Garfield: Twentieth President of the United States, Including Full and Accurate Details of His Eventful Administration, Assassination, Last Hours, Death, Etc., Together with Notable Extracts from His Speeches and LettersBrown, E. E. (Emma Elizabeth)
History
The Life and Public Services of James A. Garfield: Twentieth President of the United States, Including Full and Accurate Details of His Eventful Administration, Assassination, Last Hours, Death, Etc., Together with Notable Extracts from His Speeches and Letters
Brown, E. E. (Emma Elizabeth)
Garfield, James A. (James Abram), 1831-1881; Presidents -- United States -- Biography
measured very nearly a pint. It was now evident that secondary
hemorrhage had been the immediate cause of death, but the point from
which the blood had escaped was not at once apparent. The omentum was
not adherent to the intestines, which were moderately distended with
gas. No intestinal adhesions were found other than those between the
transverse colon and the liver, already mentioned.
The abdominal cavity being now washed out as thoroughly as possible, a
fruitless attempt was made to obtain some indication of the presence of
the bullet before making any further incision. By pushing the intestines
aside, the extremity of the catheter, which had been pressed into the
wound, could be felt between the peritoneum and the right iliac fossa,
but it had evidently doubled upon itself, and, although a prolonged
search was made, nothing could be seen or felt to indicate the presence
of the bullet, either in that region or elsewhere. The abdominal viscera
were then carefully removed from the body, placed in suitable vessels
and examined seriatim, with the following result: The adhesions between
the liver and the transverse colon proved to bound an abscess cavity
between the under surface of the liver, the transverse colon and the
transverse mesocolon, which involved the gall-bladder, and extended to
about the same distance on each side of it, measuring six inches
transversely, and four inches from before backward. This cavity was
lined by a thick pyogenic membrane, which completely replaced the
capsule of that part of the under surface of the liver occupied by the
abscess. It contained about two ounces of greenish-yellow fluid, a
mixture of pus and biliary matter. This abscess did not involve any
portion of the substance of the liver, except the surface with which it
was in contact. No communication could be traced between it and any part
of the wound. Some recent peritoneal adhesions existed between the upper
surface of the right lobe of the liver and the diaphragm. The liver was
larger than normal, weighing eighty-four ounces; its substance was firm,
but of a pale yellowish color on its surface, and throughout the
interior of the organ, from fatty degeneration. No evidence that it had
been penetrated by the bullet could be found, nor were there any
abscesses or infractions in any part of its tissue. The spleen was
connected to the diaphragm by firm, probably old, peritoneal adhesions.
There were several rather deep congenial fissures in its margins, giving
it a lobulated appearance. It was abnormally large, weighing eighteen
ounces, of a very dark, lake-red color. Its parenchyma was soft and
flabby, but contained no abscesses or infractions. There were some
recent peritoneal adhesions between the posterior wall of the stomach
and the posterior abdominal parietes. With this exception, no
abnormities were discovered in the stomach or intestines, nor were any
other evidences of general or acute peritonitis found besides those
already specified.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account