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The Liver: Impossible Salvations

  • Thomas S. HellingEmail author
  • Daniel Azoulay
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Abstract

Outside Hamburg Germany on a summer day in 1835 a 10 year old boy was playing in the garden with an open knife in his right pants pocket. As young boys will do, he was in a hurry, stooped, perhaps to tie a shoe, and lost his balance, falling to his knees and then, awkwardly, flat on his stomach. The knife did not flatten with the fall but penetrated his abdomen, obliquely from his naval into the right upper quadrant. He saw the blood, panicked, and ran home. When first examined he had a sizeable bleeding wound on the right side, with a strange, bloody piece of tissue hanging out of the opening. The knife was intact and was removed. Taken to a local surgeon, the boy was wrapped in a compressive bandage but advised to go to the Allgemeinen Krankenhaus—the large general hospital—in Hamburg. There he was examined by Doctor Fricke and his team. Fricke described a peculiar reddish structure that lay poking through the wound on a stalk-shaped attachment covered with a bloody coagulum. It was clear to all that this was a piece of the boy’s liver that had been divided by the knife blade. The hanging piece of liver was carefully excised and the stalk was treated with “anti-inflammatory” ointments and salves. The fortunate lad recovered quickly and was restored to full health within a few weeks. Years later, with the death of the, now, adult man, an autopsy in fact did reveal that the sliced piece of tissue had indeed been a portion of the liver [1].

References

  1. 1.
    Fricke JC (1836) Bericht über die in die chirurgische Abteilung des allgemeinen Krankenhauses aufgenommenen Kranken, vom Juli bis September 1835. Zeitschrift fur die gesammte Medicin:315–316Google Scholar
  2. 2.
    Homer (1995) Odyssey. Harvard University Press, Cambridge, p 301, Book 9Google Scholar
  3. 3.
    Galen (1968) On the usefulness of the parts of the body. Cornell University Press, Ithaca, p 231Google Scholar
  4. 4.
    Celsus (1938) De Medicina. Harvard University Press, Cambridge, p 26, Book VGoogle Scholar
  5. 5.
    Rolfe JC (1940) Ammianus Marcellinus: Rerum Gestarum. Harvard University Press, Cambridge, pp 6–23, XXV. 3Google Scholar
  6. 6.
    Nicaise E (1893) Chirurgie de Maitre Henri de Mondeville. Felix Alcan, Paris, p 247, 370–372Google Scholar
  7. 7.
    Lanfranc (1894) Science of Cirurgie (translated by Robert v. Fleischhacker). Kegan Paul, Trench, Trubner & Co, London, p 172Google Scholar
  8. 8.
    Jones EW (1960) The life and works of Guihelmus Fabricius Hildanus (1560-1634). Med Hist 4:196–209CrossRefGoogle Scholar
  9. 9.
    Schaefer RJ (1914) Wilhelm Fabry's von Hilden (Fabricus Hildanus). Johann Ambrosius Barth, Leipzig, pp 48–51Google Scholar
  10. 10.
    Bell C (1816) A system of operative surgery, Volume 2. George Goodwin and Sons, Hartford, p 391Google Scholar
  11. 11.
    Massie JC (1852) Wounds of the liver—excision of a large portion of the right lobe. New Orleans Med Surg J 9:146–148Google Scholar
  12. 12.
    Dalton HC (1888) Gunshot wound of stomach and liver treated by laparotomy and suture of visceral wounds with recovery. Ann Surg 8:81–100CrossRefGoogle Scholar
  13. 13.
    Morton TS (1890) Abdominal section for traumatism with tables of two hundred and thirty-five cases. JAMA 14:1–16Google Scholar

Copyright information

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.University of Mississippi Medical CenterJacksonUSA
  2. 2.Centre Hépato-BiliaireHôpital Universitaire Paul BrousseVillejuifFrance

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