It then
passed anteriorly under the muscles and integument in the
axillary space, along the upper third of the humerus, which was
extended beyond the head, the external skin not being ruptured.
The stick remained in situ for four hours before attempts at
extraction were made. On account of the displacement of the heart
it was decided not to give chloroform. The boy was held down by
four men, and Humphreys and his assistant made all the traction
in their power. After removal not more than a teaspoonful of
blood followed. The heart still remained displaced, and a lump of
intestine about the size of an orange protruded from the wound
and was replaced. The boy made a slow and uninterrupted recovery,
and in six weeks was able to sit up. The testicle sloughed, but
five months later, when the boy was examined, he was free from
pain and able to walk. There was a slight enlargement of the
abdomen and a cicatrix of the wound in the right groin. The right
testicle was absent, and the apex of the heart was displaced
about an inch.
Woodbury reports the case of a girl of fourteen, who fell seven
or eight feet directly upon an erect stake in a cart; the
tuberosity was first struck, and then the stake passed into the
anus, up the rectum for two inches, thence through the rectal
wall, and through the body in an obliquely upward direction.
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