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Caspar, after speaking of rupture of the liver, says,"With the exception of rupture of the uterus during labor and rupture of the spleen, which when they do occur are usually transverse, rupture of the other abdominal organs is almost never observed." Bryant says that the spleen is frequently injured, and" Such cases are by no means always fatal," and again," Rupture of the kidney is an accident from which recovery is more common than from any other viscus." Pollock, in Holmes's"System "avodart en francais" of Surgery," says:" Perforation of the bowel, that is, rupture of the intestinal coats the result of external violence without any external wound, is by far tlie most frequently formidable injury with which the surgeon has to contend in practice," aud that the spleen and kidneys are"frequently ruptured in injuries of the abdomen." Among the cases reported with this paper it will be seen that, while ruptures of the liver are the most numerous, ruptures of the other organs are not infrequently observed.
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