A CASE OF PENETRATING STAB OF THE ABDOMEN. By S. S. SEN,

m.b.

(Cal.),

f.r.c.s.

WOU^P

(Edin.),

Assistant Medical Superintendent, General :perintende

Hosp^'

Rangoon. A young Burmese female, aged 22 years, was ^r0 a into the Rangoon General Hospital, suffering penetrating stab wound in the epigastric region Ungt profuse bleeding and signs of internal telf She was taken to the operating theatre immedia and a left paramedian incision was made in the part of the abdomen; the abdomen was found full of blood which was mopped out. On the costal arch upwards, it was found that the we. gger (a knife) had passed through the liver into the/? 0f > sac, and on its way had severed a small the right gastric branch of the coeliac axis. The bie^f ing points were caught and ligatured. Two pieC? Dd omentum were cut away and applied over the ej superiorly and inferiorly, and the ligatures through and through these pieces of omentum aDCLrdS liver substance. The patient was treated in the for shock on the usual lines and she made an uneve

ir?wjtb

t0.jjjg re*raCt)0n

subdivisj^|

recovery.

Comment.?This

^

purp^^jg

the illustrating that if the omentum is used ir** manner in the repair of wounds of the it prevents the substance of the liver from cut through by the ligatures. case

serves