CASE REPORT
A cadet, aged 18 years, while undergoing training at a Pre-O.C.T.U. Centre, jumped from a height of nine feet on to the fixed bayonet of the man immediately in front. This entered his abdomen and there was some brisk hiemorrhage from the wound. On being seen soon afterwards by a Medical Officer, he was found to be moderately .shocked and two pints of reconstituted serum were given. He was admitted to R.N. Sick Quarters one hour afterwards.
ON ADMISSION.-Temperature, 97" ; pulse, 88 ; blood-pressure, 108 mm. systolic ; pallid and rather shocked. Abdomen-small incised wound of entry of bayonet just external to the right rectus muscle on a line between the anterior superior spine and the umbilicus and the wound of exit of the point below twelfth rib 2 in. from midline in the costovertebral angle. Some brisk hiemorrhage from wound. Generalized tenderness and rigidity. An intravenous drip of glucose and saline was commenced and two pints of serum given in the course of the next hour. FIG. 46z.-Drawing showing perforating wound of transverse colon. VOL. XXXIII-NO. 132 colour and gentle pressure caused bright-red blood to flow from the nipple.
The left breast and the axillre were normal. There were no cutaneous papillomata elsewhere.
AT OPERATION (January, 1944).-The nipple, areola, and surrounding skin containing the nodules were excised.
Convalescence was uneventful.
C. V. Harrison).-Section shows extensive intraduct papilloma of the breast (Fig. 463).