Cases of Rupture of the Liver or Spleen

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CASE I.-Rupture of the Liver and Right Lung.Death almost immediate.-JohnPratt, aet. 25, was brought to St. George's Hospital on the 4th of April, 1845, having fallen from a scaffold about thirty feet high, a short time pre- viously.He was perfectly sensible when admitted; but was in a state of extreme collapse, with very exsanguine features, and complained of intense pain in the abdomen, which was swollen and tense: there was also much difficulty of breath- ing, with dulness over the right lung.He never rallied; but died in about an hour.On examination of the body after death, a large quantity of blood, not coagulated, was found in the cavity of the peritoneum; it had proceeded from an extensive laceration of the liver, penetrating deep into the structure of this organ, and principally situated at the upper surface of the right lobe; the structure of the liver was healthy.The cavitv of the right pleura also contained a large quantity of blood, and the right lung presented two very

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