MIGRATION OF SHELL FRAGMENT FROM RIGHT FEMORAL VEIN TO RIGHT VENTRICLE OF HEART

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Abstract
NEW YORK History. —The patient, F. A., Eighth Zouaves, was brought, June 16, at 3: 30 a. m., to the ambulance. Four hours previousley he had received a perforating shell wound of the left thigh 4 cm. above the knee, and a penetrating shell wound of the right thigh. A fluoroscopic examination of the thigh and lower abdomen failed to reveal any foreign body. Unfortunately the upper abdomen and thorax were not examined. The failure to find the shell fragment was puzzling, as the depth and direction of the wound seemed to preclude the possibility of the particle having fallen out. The patient was in a condution of mild shock. The temperature was 97.2 pulse 126, respiration 28.Physical examination of the chest and abdomen was negative. Operation. —The contused skin edges were cut away, the wound laid open, and the prijectile tract lightly but methodically excised. No foreign bodies were

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