sitting position. Her last illness attracted little attention
because her life had been one of suffering. After death it was found
that the cavity in the left side of the chest was entirely filled with
abdominal viscera. The opening in the diaphragm was four inches in
diameter, and through it had passed the stomach, transverse colon, a
few inches of the descending colon, and a considerable portion of the
small intestines. The heart was crowded to the right of the sternum and
was perfectly healthy, as was also the right lung. The left lung was
compressed to the size of a hand. There were marked signs of
peritonitis, and in the absence of sufficient other symptoms, it could
be said that this woman had died of peritonitis in the left thoracic
cavity.
Extended tolerance of foreign bodies loose in the thoracic cavity has
been noticed. Tulpins mentions a person who had a sponge shut up in his
thoracic cavity for six weeks; it was then voided by the mouth, and the
man recovered. Fabricius Hildanus relates a similar instance in which a
sponge-tent was expelled by coughing. Arnot reports a case in which a
piece of iron was found in a cyst in the thorax, where it had remained
for fourteen years. Leach gives a case in which a bullet was impacted
in the chest for forty-two years. Snyder speaks of a fragment of
knife-blade which was lodged in the chest twelve years and finally
coughed up.
Foreign Bodies in the Bronchi.--Walnut kernels, coins, seeds, beans,
corks, and even sponges have been removed from the bronchi. In the
presence of Sir Morrell Mackenzie, Johnston of Baltimore removed a toy
locomotive from the subglottic cavity by tracheotomy and thyreotomy.
The child had gone to sleep with the toy in his mouth and had
subsequently swallowed it. Eldredge presented a hopeless consumptive,
who as a child of five had swallowed an umbrella ferrule while
whistling through it, and who expelled it in a fit of coughing
twenty-three years after. Eve of Nashville mentions a boy who placed a
fourpenny nail in a spool to make a whistle, and, by a violent
inspiration, drew the nail deep into the left bronchus. It was removed
by tracheotomy. Liston removed a large piece of bone from the right
bronchus of a woman, and Houston tells of a case in which a molar tooth
was lodged in a bronchus causing death on the eleventh day. Warren
mentions spontaneous expulsion of a horse-shoe nail from the bronchus
of a boy of two and one-half years. From
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