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Updated: May 13, 2025
The intestines and stomach were not injured, but there was considerable extravasation of blood into the abdominal cavity. The intestines were cleansed and an unsuccessful attempt was made to replace them. The intestines remained outside of the body for two hours, and the great omentum was carefully spread out over the chest to prevent interference with the efforts to return the intestines.
To shout and put forth the utmost possible strength in crude ways is erethic intoxication at a stage when every tissue can become erectile and seems, like the crying of infants, to have a legitimate function in causing tension and flushing, enlarging the caliber of blood vessels, and forcing the blood perhaps even to the point of extravasation to irrigate newly growing fibers, cells, and organs which atrophy if not thus fed.
His breath grew shorter with each word; a wheezing sound within his chest indicated the extent of the lesion and the continued extravasation of blood. "Mercy! pardon!" exclaimed the unhappy woman, prostrating herself upon the floor. "More air open the windows " said the Baron, as he fell back upon the mattress, exhausted by the efforts he had just made to talk.
Carlos Smith's ordeal was very brief, and the Coroner dismissed her with an expression of sympathy that seemed to issue from his mouth like carved granite. With the doctor alone the Coroner had become human; the Coroner also was a doctor. The doctor had talked about a relatively slight extravasation of blood, and said that death had been instantaneous.
The mechanism of this rare and fatal form of injury has been very aptly described by Gosselin as due to a sudden pressure exerted on the thoracic wall at the moment of full inspiration, there being a spasm of the glottis or obstruction of the larynx, in consequence of which the lung bursts. An extravasation of air occurs, resulting in the development of emphysema, pneumothorax, etc.
About the third day the tongue became dry and brown, and the gums, tongue, and teeth were covered with a dark fur, and the excretions became offensive; paralysis intervened; ecchymosed patches or stripes due to extravasation appeared on the skin; finally the pulse sank, the body grew cold and clammy, delirium or coma seized the victim, and in five or six days, sometimes in two or three, the painful struggle was at an end.
"Here is a gentleman this crazy mare has thrown against a tree, and who has received a violent blow on the head. Do you not think it would be the proper thing to bleed him?" "A slight phlebotomy might be very advantageous in stopping the extravasation of blood in the frontal region," replied the peasant, calling to his aid all the technical terms he had learned when he was a hospital nurse.
The wound was deep, having regard to the small size of the dagger, and I could only partially stop the extravasation of blood, which was profuse. I doubted if he would recover. It was not long, however, before he regained his senses. He spoke, and I remember vividly now how pathetic to me was the wagging of his short gray beard as his jaw moved. "Foster," he said "your name is Foster, isn't it?
For a few moments she remained hanging, although left free; then she released herself, fell and fled, leaving two tiny wounds, a sixth of an inch apart, red, but hardly bleeding, with a slight extravasation round the edge and resembling the wounds produced by a large pin.
The blood may infiltrate the connective tissue, constituting an extravasation of blood; or it may collect in a space or cavity and form a hæmatoma.
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