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A very thick-walled, pus-filled abscesses forms around the points of penetration, which may be multiple.
 
A very thick-walled, pus-filled abscesses forms around the points of penetration, which may be multiple.
The foreign object may be found in one of these abscesses, or free in the reticular lumen
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The foreign object may be found in one of these abscesses, or free in the reticular lumen.
 +
 
 
If the pericardium is penetrated it becomes thickened with oedema, and purulent fluid containing fibrin clots accumulates in the sac giving  a “bread and butter heart” which is classical traumatic reticulitis.
 
If the pericardium is penetrated it becomes thickened with oedema, and purulent fluid containing fibrin clots accumulates in the sac giving  a “bread and butter heart” which is classical traumatic reticulitis.
  
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