A Singular Case of Death by Suffocation

O. F. Fassett
1865 Boston Medical and Surgical Journal  
extensively disorganized, and where little was hoped for from the operation-and suppuration of the cornea took place in one eye without obvious cause. The other eye of the same patient was successfully operated on. Iridectomy in eight cases. In four it was done for the formation of an artificial pupil where the normal aperture had been closed by disease-in all of these with excellent results. In two cases of closed pupil resulting from syphilitic iritis, and in two of chronic glaucoma, the
more » ... glaucoma, the operation afforded great relief from pain, and gave rise to no inconvenience ; but the condition of the retina was such that only slight improvement to vision followed its execution. Excision of Staphyloma was done once. The patient had a most unsightly enlargement of the anterior portion of the globe, which was not merely a deformity, but, from being subject to inflammation, constituted a great annoyance. Pour curved needles, armed with sutures, were passed through the cornea, from above downwards, just in front of the iris, and the whole central portion of tho cornea having then been excised, the needles were drawn through and the sutures tied. No inflammation followed, and the eyeball was reduced to slightly less than its natural size, so as to allow the wearing of an artificial eye. A child, previously healthy, except a slight cough, aged five years, while playing about house suddenly coughed, when respiration seemed totally obstructed and the child died instantly. A few hours after death I attended a post-mortem examination with Drs. Huse and Hamilton. On opening the thorax, tho lungs were found inflated and perfectly healthy ; some slight adhesions existed between the pulmonary and costal pleura) of the right side, which were easily broken by the finger. The trachea was next opened by a longitudinal incision, when the larynx and glottis were found filled with a soft solid substance which took tho shape of the larynx and entered the glottis like a wedge, nearly or quite a half inch in length, and evidently driven up by the force of the cough. The incision was next extended downwards, and at the bifurcation of the trachea a similar pioce of the same substance was found filling tho trachea and extending a little into the right bronchus, as largo as a large bean. Just below the bifurcation was a rounded mass of tho same substance, enclosed by a sac or walls like an abscess, the walls in contact with both bronchi and communicating with tho right by a small ulcerated opening. A sinus extended upwards and to the right, • The Boston Medical and Surgical Journal as published by The New England Journal of Medicine.
doi:10.1056/nejm186505040721403 fatcat:cp2ntvriwbeund27l2ils3nl6a