Hemobilia, Cholecystitis, and Gastrointestinal Bleeding With Rupture of Liver

Subcutaneous rupture of the liver is not a rarity. Our case is of particular interest on account of the complications of hemobilia, hemorrhagic cholecystitis, gastrointestinal bleeding, hemothorax, and hydropneumopericardium, with complete recovery. The over-all mortality from hepatic rupture in general remains about 60%, that from massive rupture being higher (60% to 80% ).1 REPORT OF A CASE R. G., 9 years of age, a white male child, sustained a severe injury to the abdomen and lower right portion of the chest at 5 p. m. on Feb. 9, 1951, when he fell from his sled into a jagged rock-filled creek. He was brought into the office 20 minutes later in a state of collapse. Shock therapy was immediately carried out with favorable response. X-rays were taken of the abdomen to determine the presence of air under the diaphragm and because of possible fracture of the ribs. The x-rays were all