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  Vol. 46 No. 1, January 1943 TABLE OF CONTENTS
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THORACOABDOMINAL GUNSHOT WOUNDS

A REVIEW OF EIGHTY-FOUR CASES

CAPTAIN HARRY G. HARDT, Jr.; MAJOR LINDON SEED

Arch Surg. 1943;46(1):59-73.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Thoracoabdominal gunshot wounds are grave injuries which must be carefully studied and energetically treated. A penetrating projectile has no respect for fascial planes or divisions between body cavities; hence a combined lesion must be considered in all wounds of the lower portion of the thorax and the upper portion of the abdomen. Because of the great physiologic difference in the character of the abdominal and the thoracic cavity, injury to both as occurs in a penetrating wound contributes more profoundly to the patient's shock than injury to either of the cavities alone.

Thoracoabdominal penetrating wounds are common lesions during warfare. This type of lesion constituted 9 per cent of thoracic wounds and 12 per cent of abdominal wounds seen at the casualty-clearing stations of the British Expeditionary Forces in World War I according to MacPherson and associates,1 Taylor2 and Wallace and Fraser.3 Jolly4 found that 11 . . . [Full Text PDF of this Article]


Author Affiliations

MEDICAL CORPS, ARMY OF THE UNITED STATES

From the Department of Surgery, University of Illinois College of Medicine, and the Cook County Hospital.



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