The Medical and Surgical History of the War of the Rebellion, part II, volume II (Washington: Government Printing Office, 1877), p. 142 describes the case of Sergeant W. W. Smith of Company G, 5th Texas Infantry, who was wounded July 2, 1863 at Gettysburg, age 25 years. Smith was wounded by a conoidal ball, which entered the right side of the abdomen. He was taken to a field hospital ... until 10 August when he was transferred to Camp Letterman. Assistant Surgeon T. J. Vance, C.S.A., attended the case and stated, "the ball entered the right hypochondriac region and passed through obliquely, and made its exit four inches below, to the right of the umbilicus. The right lobe of the liver was penetrated by the ball, as was proved by the escape of the secretions, and of a portion of the liver. Cold-water dressings were applied to the wounds, and anodynes given. August 20: The wounds have healed, though he suffers excrutiating pain in the region of the transverse colon. Camphor and opium pills were given, and tincture of iodine was applied over the vicinity of the pain. September 1: Patient doing well, though suffering occasionally in the region of the liver and colon. September 20: Health good, pain ceased." On September 25 Smith was transferred to West's Buildings Hospital, Baltimore, where he was paroled on November 12, 1863.