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SUBCUTANEOUS INJURIES OF THE ABDOMINAL VISCERA: ANATOMIC AND CLINICAL CHARACTERISTICS

SUBCUTANEOUS INJURIES OF THE ABDOMINAL VISCERA: ANATOMIC AND CLINICAL CHARACTERISTICS Abstract Two types of lesions are produced by physical violence on the abdominal cavity and its organs. The first is represented by stab wounds and bullet wounds, which penetrate the skin and leave characteristic external marks. They are known as percutaneous injuries. The second type is due to the action of nonpenetrating blunt force, which traumatizes the abdominal viscera but which may or may not leave marks on the surface of the skin. These are called subcutaneous injuries. Of the two, the second variety offers more difficult problems in diagnosis and treatment than the first. While the percutaneous wound can scarcely be overlooked because of the penetration of the skin, the subcutaneous injury often lacks external indications and frequently is not noticed on examination. As many of these injuries are dangerous, though not necessarily hopeless if the patient is given prompt treatment, their early detection is a matter of grave importance References 1. Geill, C.: Vrtljschr. f. gerichtl. Med. 18:205, 1899. 2. Edler, L.: Arch. f. klin. Chir. 34:343, 1887. 3. Westenhöffer: München. med. Wchnschr. 51:41 ( (Jan. 5) ) 1904. 4. Wätzold: München. med. Wchnschr. 53:2107 ( (Oct. 23) ) 1906. 5. Walz and Holle: Vrtljschr. f. gerichtl. Med. 40:215. 1910. 6. Hitzrot, J. M.: Ann. Surg. 66:50 ( (July) ) 1917.Crossref 7. Bauer, H.: Vrtljschr. f. gerichtl. Med. 56:33, 1918. 8. Orth, Oscar: Arch. f. klin. Chir. 101:369, 1913. 9. Auchincloss, H.: Ann. Surg. 80:626 ( (Oct.) ) 1924. 10. Chiari, H.: Berl. klin. Wchnschr. 45:1629 ( (Sept. 7) ) 1908. 11. Orth, J.: Deutsche path. Gesellsch. Verhandl. 3:82, 1901. 12. Fertig, J.: Deutsche Ztschr. f. Chir. 87:87, 1907.Crossref 13. Biernath, P.: Arch. f. klin. Chir. 90:73, 1909. 14. Engel, H.: München. med. Wchnschr. 48:1046 ( (June 25) ) 1901. 15. Thorel: Ergebn. d. allg. Path. 18:123, 1915. 16. Just, E.: Arch. f. klin. Chir. 140:518, 1926. 17. Lewerenz: Arch. f. klin. Chir. 71:111, 1903. 18. Stierlin, R.: Deutsche Ztschr. f. Chir. 73:463, 1904.Crossref 19. Hildebrandt: Arch. f. klin. Chir. 81:646, 1906. 20. Finsterer, H.: Deutsche Ztschr. f. Chir. 118:1. 1912.Crossref 21. Berger, E.: Arch. f. klin. Chir. 68:768, 1902. 22. St. John, F. B.: Ann. Surg. 80:624 ( (Oct.) ) 1924. 23. Brogsitter, C. M.: Charité ann. 33:494, 1909. 24. Vorwerk: Deutsche Ztschr. f. Chir. 111:125, 1911.Crossref 25. Boettiger, K.: Deutsche Ztschr. f. d. ges. gerichtl. Med. 8:33, 1926. 26. Wagner, P.: Schmidt's Jahrbücher 332:111 ( (Oct.) ) 1920. 27. DeQuervain, F.: Deutsche Ztschr. f. Chir. 62:59, 1902. 28. Boesch, F.: Deutsche Ztschr. f. Chir. 167:282, 1921.Crossref 29. Karewski, F.: Berl. klin. Wchnschr. 44:187 ( (Feb. 18) ) 1907. 30. Thöle: Deutsche Ztschr. f. Chir. 84:45, 1906.Crossref 31. Wildegans: Arch. f. klin. Chir. 122:276, 1922-1923. 32. Simmonds: Deutsche med. Wchnschr. 28:23 ( (Jan. 16) ) 1902. 33. Honigmann, F.: Deutsche Ztschr. f. Chir. 80:19, 1905.Crossref 34. Mueller, H.: Arch. f. klin. Chir. 143:285, 1926. 35. Ruptures of the uterus and adnexa are not included because they are extremely rare in the normal state and usually occur as spontaneous ruptures in organs enlarged by pregnancy or pathologic conditions. 36. Vance, B. M.: Traumatic Lesions of Intestine Caused by Nonpenetrating Blunt Force , Arch. Surg. 7:197 ( (July) ) 1923.Crossref 37. Berry: Brit. M. J. 2:643 ( (Oct. 22) ) 1921.Crossref 38. Sauerbruch: Mitt. a. d. Grenzgeb. d. Med. u. Chir. 12:92, 1903. 39. Haim, E.: Arch. f. klin. Chir. 93:685, 1910. 40. Dubs, J.: Deutsche Ztschr. f. Chir. 151:120, 1919.Crossref 41. Dubs, J.: Deutsche Ztschr. f. Chir. 133:366, 1915.Crossref 42. Maier, O.: Arch. f. klin. Chir. 132:212, 1924. 43. Schonwerth, A.: Arch. f. klin. Chir. 85:876, 1908. 44. Muir: Brit. M. J. 2:25 ( (July 4) ) 1908.Crossref 45. Seldowitsch, I. B.: Arch. f. klin. Chir. 72:859, 1904. 46. Dittrich, R.: Deutsche med. Wchnschr. 48:974 ( (July 21) ) 1922.Crossref 47. Rost, F.: München. med. Wchnschr. 64:5 ( (Jan. 2) ) 1917. 48. Nordmann, O.: Deutsche med. Wchnschr. 34:144 ( (Jan. 23) ) 1908.Crossref 49. Bartels, M.: Arch. f. klin. Chir. 22:715, 1878. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

SUBCUTANEOUS INJURIES OF THE ABDOMINAL VISCERA: ANATOMIC AND CLINICAL CHARACTERISTICS

Archives of Surgery , Volume 16 (3) – Mar 1, 1928

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Publisher
American Medical Association
Copyright
Copyright © 1928 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1928.01140030003001
Publisher site
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Abstract

Abstract Two types of lesions are produced by physical violence on the abdominal cavity and its organs. The first is represented by stab wounds and bullet wounds, which penetrate the skin and leave characteristic external marks. They are known as percutaneous injuries. The second type is due to the action of nonpenetrating blunt force, which traumatizes the abdominal viscera but which may or may not leave marks on the surface of the skin. These are called subcutaneous injuries. Of the two, the second variety offers more difficult problems in diagnosis and treatment than the first. While the percutaneous wound can scarcely be overlooked because of the penetration of the skin, the subcutaneous injury often lacks external indications and frequently is not noticed on examination. As many of these injuries are dangerous, though not necessarily hopeless if the patient is given prompt treatment, their early detection is a matter of grave importance References 1. Geill, C.: Vrtljschr. f. gerichtl. Med. 18:205, 1899. 2. Edler, L.: Arch. f. klin. Chir. 34:343, 1887. 3. Westenhöffer: München. med. Wchnschr. 51:41 ( (Jan. 5) ) 1904. 4. Wätzold: München. med. Wchnschr. 53:2107 ( (Oct. 23) ) 1906. 5. Walz and Holle: Vrtljschr. f. gerichtl. Med. 40:215. 1910. 6. Hitzrot, J. M.: Ann. Surg. 66:50 ( (July) ) 1917.Crossref 7. Bauer, H.: Vrtljschr. f. gerichtl. Med. 56:33, 1918. 8. Orth, Oscar: Arch. f. klin. Chir. 101:369, 1913. 9. Auchincloss, H.: Ann. Surg. 80:626 ( (Oct.) ) 1924. 10. Chiari, H.: Berl. klin. Wchnschr. 45:1629 ( (Sept. 7) ) 1908. 11. Orth, J.: Deutsche path. Gesellsch. Verhandl. 3:82, 1901. 12. Fertig, J.: Deutsche Ztschr. f. Chir. 87:87, 1907.Crossref 13. Biernath, P.: Arch. f. klin. Chir. 90:73, 1909. 14. Engel, H.: München. med. Wchnschr. 48:1046 ( (June 25) ) 1901. 15. Thorel: Ergebn. d. allg. Path. 18:123, 1915. 16. Just, E.: Arch. f. klin. Chir. 140:518, 1926. 17. Lewerenz: Arch. f. klin. Chir. 71:111, 1903. 18. Stierlin, R.: Deutsche Ztschr. f. Chir. 73:463, 1904.Crossref 19. Hildebrandt: Arch. f. klin. Chir. 81:646, 1906. 20. Finsterer, H.: Deutsche Ztschr. f. Chir. 118:1. 1912.Crossref 21. Berger, E.: Arch. f. klin. Chir. 68:768, 1902. 22. St. John, F. B.: Ann. Surg. 80:624 ( (Oct.) ) 1924. 23. Brogsitter, C. M.: Charité ann. 33:494, 1909. 24. Vorwerk: Deutsche Ztschr. f. Chir. 111:125, 1911.Crossref 25. Boettiger, K.: Deutsche Ztschr. f. d. ges. gerichtl. Med. 8:33, 1926. 26. Wagner, P.: Schmidt's Jahrbücher 332:111 ( (Oct.) ) 1920. 27. DeQuervain, F.: Deutsche Ztschr. f. Chir. 62:59, 1902. 28. Boesch, F.: Deutsche Ztschr. f. Chir. 167:282, 1921.Crossref 29. Karewski, F.: Berl. klin. Wchnschr. 44:187 ( (Feb. 18) ) 1907. 30. Thöle: Deutsche Ztschr. f. Chir. 84:45, 1906.Crossref 31. Wildegans: Arch. f. klin. Chir. 122:276, 1922-1923. 32. Simmonds: Deutsche med. Wchnschr. 28:23 ( (Jan. 16) ) 1902. 33. Honigmann, F.: Deutsche Ztschr. f. Chir. 80:19, 1905.Crossref 34. Mueller, H.: Arch. f. klin. Chir. 143:285, 1926. 35. Ruptures of the uterus and adnexa are not included because they are extremely rare in the normal state and usually occur as spontaneous ruptures in organs enlarged by pregnancy or pathologic conditions. 36. Vance, B. M.: Traumatic Lesions of Intestine Caused by Nonpenetrating Blunt Force , Arch. Surg. 7:197 ( (July) ) 1923.Crossref 37. Berry: Brit. M. J. 2:643 ( (Oct. 22) ) 1921.Crossref 38. Sauerbruch: Mitt. a. d. Grenzgeb. d. Med. u. Chir. 12:92, 1903. 39. Haim, E.: Arch. f. klin. Chir. 93:685, 1910. 40. Dubs, J.: Deutsche Ztschr. f. Chir. 151:120, 1919.Crossref 41. Dubs, J.: Deutsche Ztschr. f. Chir. 133:366, 1915.Crossref 42. Maier, O.: Arch. f. klin. Chir. 132:212, 1924. 43. Schonwerth, A.: Arch. f. klin. Chir. 85:876, 1908. 44. Muir: Brit. M. J. 2:25 ( (July 4) ) 1908.Crossref 45. Seldowitsch, I. B.: Arch. f. klin. Chir. 72:859, 1904. 46. Dittrich, R.: Deutsche med. Wchnschr. 48:974 ( (July 21) ) 1922.Crossref 47. Rost, F.: München. med. Wchnschr. 64:5 ( (Jan. 2) ) 1917. 48. Nordmann, O.: Deutsche med. Wchnschr. 34:144 ( (Jan. 23) ) 1908.Crossref 49. Bartels, M.: Arch. f. klin. Chir. 22:715, 1878.

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1928

References

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