The patient, J. G. W., was brought to the Everett Hospital Feb. 13, 1896, shot in the abdomen, at close range, with a 38 caliber revolver, ball entering about three inches above and one inch to the left of the umbilicus, and lodged in the back. The abdomen was opened an hour after the injury was received, by a four-inch longitudinal incision at the bullet wound. The cavity was filled with blood; the patient in extreme shock and pulseless. A large hole in the mesentery, which was bleeding profusely, was closed with catgut. The duodenum had two small holes in it about six inches from the stomach, which were closed with fine silk by the Lembert suture. Another perforation was found about ten inches from the stomach which nearly severed the gut and tore the mesentery at the same place. This portion of the gut was resected and end-to-end anastomosis