In 1849 Solly
communicated the case of a man who inhaled a pebble placed on his
tongue to relieve thirst. On removal this pebble weighed 144
grains. Watson of Murfreesboro removed a portion of an umbrella
rib from a trachea, but as he failed to locate or remove the
ferrule, the case terminated fatally. Brigham mentions a child of
five who was seized with a fit of coughing while she had a small
brass nail in her mouth; pulmonary phthisis ensued, and in one
year she died. At the postmortem examination the nail was found
near the bifurcation of the right bronchus, and, although colored
black, was not corroded.
Marcacci reported an observation of the removal of a bean from
the bronchus of a child of three and a half years. The child
swallowed the bean while playing, immediately cried, and became
hoarse. No one having noticed the accident, a diagnosis of croup
was made and four leeches were applied to the neck. The dyspnea
augmented during the night, and there was a whistling sound with
each respiratory movement. On the next day the medical attendants
suggested the possibility of a foreign body in the larynx.
Tracheotomy was performed but the dyspnea continued, showing that
the foreign body was lodged below the incision.
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