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.

The patient remained conscious and calm throughout; finally deep anesthesia was produced by ether and chloroform, three and a half hours after the accident, and in twenty minutes the intestines were all replaced in the abdominal cavity.

The edges were pared, sutured, and the wound dressed.