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Updated: June 27, 2025
Recovery ensued, with a cicatrix on the forehead, through which the pulsations of the brain could be distinctly seen. The senses were not at all deteriorated. Richardson tells of a soldier who was struck by a Minie ball on the left temporal bone; the missile passed out through the left frontal bone 1/2 inch to the left of the middle of the forehead.
In this case there was but little extravasation of urine, as the vesical aperture was closed by omentum and bowel. Assmuth reports two cases of rupture of the bladder from muscular action. Morris cites the history of a case in which the bladder was twice ruptured: the first time by an injury, and the second time by the giving way of the cicatrix.
If the ends of a divided striped muscle are at once brought into apposition by stitches, primary union takes place with a minimum of intervening fibrous tissue. The nuclei of the muscle fibres in close proximity to this young cicatricial tissue proliferate, and a few new muscle fibres may be developed, but any gross loss of muscular tissue is replaced by a fibrous cicatrix.
When the nerves in a stump have not been cut sufficiently short, they may become involved in the cicatrix, and it may be necessary, on account of pain, to free them from their adhesions, and to resect enough of the terminal portions to prevent them again becoming adherent.
The cicatrix was plainly visible, but the man said he had been able to perform his daily labors, although at the present time suffering from intense dyspnea and anasarca. A loud bellows-sound could be heard, which the man said had been audible since the time of reception of the injury. This was a double bruit accompanying systole, and entirely obscuring the physical signs.
The form of injury causing the cicatrix is no factor in the production of keloid, the sting of an insect, the prick of a needle, and even the wearing of ear-rings having been frequent causes of keloid-formations among the negro race. Collins describes a negress of ninety, born of African parents, who exhibited multiple keloids produced by diverse injuries.
He fancied that his wound bled afresh at Mabel's allusion; and it is certain that the blood rushed to his face in a torrent, as if it would pour out of his skin at the cicatrix.
The wound made by the spear had long since healed, leaving only a small cicatrix; and after the operation, which the native bore without flinching, he appeared to suffer no pain. Indeed, judging from his good state of health, the presence of the foreign matter did not materially annoy him. He was perfectly well in a few days." But No. 3 is my favorite.
By the tenth day he was passing urine from the urethra, and on the twenty-fifth day there was a complete cicatrix of the parts; fifteen days later he suffered from an attack of retention of urine lasting five days; this was completely relieved after the expulsion of a small piece of trouser-cloth which had been pushed into the bladder at the time of the accident.
Oftentimes, in severe cuts, and generally in lacerations, there is a loss of tissue, so that the wound heals by "second intention"; that is, the wound heals from the bottom by a deposit of new cells called granulations, which gradually fill it up. The skin begins to grow from the edges to the center, covering the new tissue and leaving a cicatrix or scar with which every one is familiar.
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