War Wounds of the Abdomen

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Abstract
Liver. The liver is frequently involved in abdominal wounds, and almost always in right thoracoabdominal wounds. Consequently, x-ray films often show shell fragments within the liver shadow. Since these foreign bodies are well tolerated and their removal difficult, they are usually left in situ. This led to rather conservative therapy of liver wounds early in the war. It soon became evident that a more radical technic was required and that adequate drainage was necessary to avoid bile peritonitis, bile empyema or subdiaphragmatic abscesses. Although Betts27 believes that a wound produced by a fragment 3 mm. or less in diameter, may . . .