Image from page 370 of "Practical electro-therapeutics and X-ray therapy : with chapters on phototherapy, X-ray in eye surgery, X-ray in dentistry, and medico-legal aspect of the X-ray" (1912)
Authors: Martin, James Madison, 1866-1947
Publisher: St. Louis : C.V. Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
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blindly probed in the hope of locating a bulletthat probably never entered the body more than to make a super-ficial wound. The mortality rate from impacted foreign bodies inthe trachea or esophagus was formerly very high, about 80 percentdying after surgical efforts for removal. Cases of metallic bodies in the eye were seldom diagnosed untilnot only the injured eye was lost, but the other eye was destroyedthrough sympathetic ophthalmia. Cases that were formerly impos-sible of diagnosis, and that were treated expectantly or not at all 366 X-RAY IN LOCATION OF FOREIGN BODIES 367 until too late to receive benefit from any method of treatment, arenow, by means of the x-ray, accurately diagnosed and promptlyrelieved, not only preventing distress and suffering, but saving thelives of many patients. Foreign Bodies in the Esophagus.—It is surprising how oftenchildren attempt to swallow articles too large to pass through theesophagus. If they are obstructed, it is generally at a point about
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Fig. 188.—Location of foreign bodies. Coin shown at the upper end of the sternum. opposite the junction of the third rib with the sternum, or it maybe at or above the junction of the first rib with the sternum. In1907 the author was asked by Doctor J. 0. McReynolds to locate acoin in the esophagus of a little girl, the daughter of a physician.Fig. 188 is a skiagraph of the case, which shows the coin at theupper end of the sternum. It was decided to remove the coin 368 PRACTICAL ELECTRO-THERAPEUTICS AND X-RAY THERAPY through the mouth with Chevalier Jacksons esophagoscope, forceps,etc. On introducing the esophagoscope it was found that the lip ofthe instrument went posterior to the coin, which prevented it frombeing seen by the operator. In order to direct the instrument tothe proper position, the author suggested the use of the fluoroscopewhile the esophagoscope was being passed into the esophagus. Theremoval of these coins through the mouth with Chevalier Jacksonselectrically light
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