The mother
seized the needle between her teeth and withdrew it, but the
child died, before medical aid could be summoned, from internal
hemorrhage, causing pulmonary pressure and dyspnea.
Rupture of the esophagus is attributable to many causes. Dryden
mentions vomiting as a cause, and Guersant reports the case of a
little girl of seven, who, during an attack of fever, ruptured
her esophagus by vomiting. In 1837 Heyfelder reported the case of
a drunkard, who, in a convulsion, ruptured his esophagus and
died. Williams mentions a case in which not only the gullet, but
also the diaphragm, was ruptured in vomiting. In this country,
Bailey and Fitz have recorded cases of rupture of the esophagus.
Brewer relates a parallel instance of rupture from vomiting. All
the foregoing cases were linear ruptures, but there is a unique
case given by Boerhaave in 1724, in which the rent was
transverse. Ziemssen and Mackenzie have both translated from the
Latin the report of this case which is briefly as follows: The
patient, Baron de Wassenaer, was fifty years of age, and, with
the exception that he had a sense of fulness after taking
moderate meals, he was in perfect health. To relieve this
disagreeable feeling he was in the habit of taking a copious
draught of an infusion of "blessed thistle" and ipecacuanha.
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