. The Röntgen rays in medical work . chiefly on account of the difficulty of localizingsuch objects that this operation has been hitherto of rare in the foregoing instance, where a foreign body is impacted inthe gullet, the occurrence of gastric pain is apt to be Macintyre has described a case where a boy swallowed a half-penny some six months previously. The fluorescent screen showedthe coin to be lodged opposite the third dorsal vertebra. In thatinstance the pain was constantly referred to the stomach. Indeed,where pain in that region cannot be explained by some
. The Röntgen rays in medical work . chiefly on account of the difficulty of localizingsuch objects that this operation has been hitherto of rare in the foregoing instance, where a foreign body is impacted inthe gullet, the occurrence of gastric pain is apt to be Macintyre has described a case where a boy swallowed a half-penny some six months previously. The fluorescent screen showedthe coin to be lodged opposite the third dorsal vertebra. In thatinstance the pain was constantly referred to the stomach. Indeed,where pain in that region cannot be explained by some obviouscause, the surgeon will do well to make a>ray examination of thechest a routine practice. * St. Thomass Hospital Reports, 1897. 158 THE RONTGEN RA YS IN MEDICAL WORK One of the earliest radiograms of a coin impacted in the oesophaguswas brought forward at the Clinical Society of London on June 22,1897, by Mr. Bowlby. The patient, a boy, three and a half years ofage, was under the care of Mr. Howard Marsh. He had been under. Fig. 78.—Coin in Gullet. observation for five weeks, during which time he showed no symptomsbeyond occasional sickness. A radiogram taken by Messrs. Allenand Hanbury (Fig. 78) at once revealed the presence of the coin, ahalfpenny piece, lodged in the gullet at the level of the second MEDICAL AND SURGICAL APPLICATIONS 159 dorsal vertebra. Removal was ultimately effected by means of acatch carried within a gum elastic catheter. Dr. Mayo, of Rochester, ,:;: has reported a case where anopen buckle was shown by the radiograph to be impacted in thegullet of an infant. The buckle lay behind the upper part of thesternum, with its teeth projecting upwards and to the right. Aleft oesophagotomy enabled the surgeon to remove the foreign bodyby means of a bent probe. The chief point of interest was that theposition of the teeth would have effectually prevented the pullingupwards of the buckle. The danger of attempting extraction bycurved forceps would
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