Changes

# Localised peritonitis

# Localised peritonitis

# Local fibrinous adhesions

# Local fibrinous adhesions

# Penetration of the diaphragm and pericardium resulting in pericarditis. Pericardium is enormously thickened with oedema, and purulent fluid containing fibrin clots accumulates in the sac giving  “bread and butter heart” - classical traumatic reticulitis.[[Image:traumatic pericarditis.jpg|thumb|right|150px|Traumatic pericarditis (Courtesy of BioMed Image Archive)]]

# Penetration of the diaphragm and pericardium resulting in [[Pericarditis|pericarditis]]. Pericardium is enormously thickened with oedema, and purulent fluid containing fibrin clots accumulates in the sac giving  “bread and butter heart” - classical traumatic reticulitis.[[Image:traumatic pericarditis.jpg|thumb|right|150px|Traumatic pericarditis (Courtesy of BioMed Image Archive)]]

# Penetration of the heart itself resulting in myocarditis and endocarditis

# Penetration of the heart itself resulting in myocarditis and endocarditis

# Penetration of the lungs and pleura resulting in pneumonia and pleurisy

# Penetration of the lungs and pleura resulting in pneumonia and pleurisy