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Updated: June 10, 2025
Cleveland "told the truth" when he had to and was made a little tin Jesus of by the moral jabberwocks; Breckinridge, an infinitely better and brainier man, 'fessed up and couldn't go to Congress from the studhorse district of Kentucky. When society goes hunting for scapegoats it usually manages to get a gnat lodged in its esophagus while relegating a mangy dromedary to its internal economy.
At the autopsy 3/4 pint of blood was found in the stomach, and a perforation was discovered on the right side of the esophagus, leading into a cavity, in which a blackened half-penny was found. A probe passed along the aorta into the innominate protruded into the same cavity about the bifurcation of the vessel.
Fatal hemorrhage had been avoided in this case by the formation of coagulum in the wound during the syncope immediately following the stab, possibly aided by extended exposure to cold. Sundry Cases. Sandifort mentions a curious case of coalescence of the esophagus and aorta, with ulceration and consequent rupture of the aorta, the hemorrhage proceeding from the stomach at the moment of rupture.
Quite likely the shellac had been precipitated in the stomach and gave rise to the calculus. Berwick mentions a child of eight months who was playing with a detached organ-handle, and put it in its mouth. Seeing this the mother attempted to secure the handle, but it was pushed into the esophagus. A physician was called, but nothing was done, and the patient seemed to suffer little inconvenience.
Sercombe mentions a case in which destruction of the entire palate was successfully relieved by mechanical means. In some instances among the lower classes these obturators are simple pieces of wood, so fashioned as to fit into the palatine cleft, and not infrequently the obturator has been swallowed, causing obstruction of the air-passages or occluding the esophagus. Abnormalism of the Uvula.
The disease is probably due to congenital defect aggravated by frequent attacks of glossitis, and the treatment consists in the removal of the protruding portions by the knife, ligation, the cautery, or ecraseur. Living Fish in the Pharynx. Probably the most interesting cases of foreign bodies are those in which living fish enter the pharynx and esophagus.
It began, if one were quick to observe, with a wrinkling about the corners of the sharp blue eyes, then became audible in a succession of small explosions that seemed to have their origin in the region of the esophagus and to threaten the larynx with disruption, until relief was found in a wide-throated peal that subsided in a second series of small explosions and gradually rumbled off into silence somewhere in the region of the diaphragm, leaving only the wrinkles about the corners of the blue eyes as a kind of warning that the whole process might be repeated upon sufficient provocation.
Guattani mentions a curious instance in which a man playing with a chestnut threw it in the air, catching it in his mouth. The chestnut became lodged in the throat and caused death on the nineteenth day. At the autopsy it was found that an abscess communicating with the trachea had been formed in the pharynx and esophagus.
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.
The mercury mounted to his esophagus and, being able to swallow neither solids nor fluids, he died the 23rd June of positive famine . . . . The interest of the bungling surgeon is to say that he died of the pox. This is not true, I beg, you to give the lie to anyone you hear saying it. I have before my eyes four hundred and sixty of his letters over which I weep and which I will burn.
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