At the postmortem a mobile mass of food
about the size of a hazel-nut was found at the base of the larynx
at the glossoepiglottic fossa. About the 5th ring of the trachea
the caliber of this organ was obstructed by a cylindric
alimentary bolus about six inches long, extending almost to the
bronchial division. Ashhurst shows a fibrinous cast, similar to
that found in croup, caused by a foreign body removed by Wharton,
together with a shawl-pin, from a patient at the Children's
Hospital seven hours after the performance of tracheotomy. Search
for the foreign body at the time of the operation was prevented
by profuse hemorrhage.
The ordinary instances of foreign bodies in the larynx and
trachea are so common that they will not be mentioned here. Their
variety is innumerable and it is quite possible for more than two
to be in the same location simultaneously. In his treatise on
this subject Gross says that he has seen two, three, and even
four substances simultaneously or successively penetrate the same
location. Berard presented a stick of wood extracted from the
vocal cords of a child of ten, and a few other similar instances
are recorded.
The Medical Press and Circular finds in an Indian contemporary
some curious instances of misapplied ingenuity on the part of
certain habitual criminals in that country.
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