His urine was loaded with mucus and pus during the period of cure, and he passed several small pieces of bone, both by the urethra and by the abdominal wound. At the end of six weeks he could retain his urine, and pass it at pleasure by the natural passage, in a full stream. For a month he had been unable to prevent his urine flowing constantly away. In about two months from the period of his admission the wound on the abdomen was (>K T1IK AND BLADDER. plet.-ly dosed by use of nitrate of silver. which had somewhat failed, was at that time restored, and he was walking about the ward this pcrio h; from under my: Liu I learned that tin- w-und on tiie abdomen and tliat lie could pass his urine, without any pain, through this open in ir. in a continuous stream, but that ultimately, before he went to Kndand, it had permanently dot Tinf.il having case is curious, as showing how a body may descend into the pelvis, and yet very slightly injure the viscera.
A soldier at the Alma was wounded ly a piece "t" shell, which struck him pubis, and, descending into the pelvis, was lost. Nbad symptom whatever supervened, and he made a rapid very. The surgeon in charge of the case thoiurht that the missile lay impacted deep in the pelvis, behind the; it this he could not satisfactorily dct'-rminc. Here the bladder escaped most miracul: The injury was much more severe, but the result little less fortunate, i-i A Trench soldier of the line was struck at the Alma by a piece of shell. above the symphysis puhis, which tract un-d ii passed downward, and was removed in the perineumfrom r.-thra. 'J'he n-ctuin and urethra I both lacerated.
'"BCCSSes formed, the patient's, r attack of intlammation seized any of ra, A communication was establishn the bladlcr rectum, and bet th<the abdominal wall. BO thai small sof faeces escaped at; i the abdomen. 'J'Jie last time i AVAR. this man was in January, 1855, when he was recovering rapidly. In the next case the missile penetrated the pelvis from below, and it is interesting chiefly from the manner in which the peritoneum escaped. A French artilleryman was wounded at the battle of the Alma by a piece of shell, which struck him on the perineum, and penetrated between the rectum and bladder, establishing a fistulous communication between these parts.
The peritoneum was not opened. No bad symptom followed, but when he was sent home he was dying of phthisis. There is a case related in one of the Indian reports, which illustrates in a curious way the severe injury which the perineum may undergo. A soldier of the 14th light dragoons had the pommel of his saddle struck by a round shot at Goojerat. The ball passed under and between him and his horse, which escaped injury. The rami of the ischium and pubes were fractured on the left side, the perineum extensively lacerated, but the scrotum was only slightly abraded, and the urethra was uninjured He had much pain afterwards in passing his urine; the soft parts of the perineum sloughed, and his testicles atrophied; but otherwise he made a good recovery.