A probe passed along the aorta into the innominate protruded into
the same cavity about the bifurcation of the vessel.
Denonvilliers has described a perforation of the esophagus and
aorta by a five-franc piece. A preserved preparation of this
case, showing the coin in situ, is in the Musee Dupuytren.
Blaxland relates the instance of a woman of forty-five who
swallowed a fish bone, was seized with violent hematemesis, and
died in eight hours. The necropsy revealed a penetration of the
aorta through the thoracic portion of the esophagus. There is
also in the Musee Dupuytren a preparation described by Bousquet,
in which the aorta and the esophagus were perforated by a very
irregular piece of bone. Mackenzie mentions an instance of death
from perforation of the aorta by a fish-bone.
In some cases penetration of the esophagus allows the further
penetration of some neighboring membrane or organ in the same
manner as the foregoing cases. Dudley mentions a case in which
fatal hemorrhage was caused by penetration of the esophagus and
lung by a chicken-bone. Buist speaks of a patient who swallowed
two artificial teeth. On the following day there was pain in the
epigastrium, and by the fourth day the pain extended to the
vertebrae, with vomiting, delirium, and death on the fifth day.
Pages:
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151