. The physiology of digestion : considered with relation to the principles of dietetics . to the chest half as large as his fever and farther sloughing ensued ; and forseventeen days every thing swallowed passed outthrough the wound, and the patient was kept alive,chiefly, by nourishing injections. By-and-by the feversubsided, the wound improved in appearance, and af-ter the fourth week the appetite became good, diges-tion regular, the evacuations natural, and the health ofthe system complete. The orifice, however, never closed;and at every dressing the contents of the stomach flo
. The physiology of digestion : considered with relation to the principles of dietetics . to the chest half as large as his fever and farther sloughing ensued ; and forseventeen days every thing swallowed passed outthrough the wound, and the patient was kept alive,chiefly, by nourishing injections. By-and-by the feversubsided, the wound improved in appearance, and af-ter the fourth week the appetite became good, diges-tion regular, the evacuations natural, and the health ofthe system complete. The orifice, however, never closed;and at every dressing the contents of the stomach flow-ed out, and its coats frequently became everted or pro-truded so far as to equal in size a hens egg, but they SINGULAR CASE OF WOUND IN THE STOMACH, 83 were always easily returned. The prefixed figure ex-hibits the appearance of the wound after it was circumference of the wound E E E L, extended toabout twelve inches ; and the opening into the stomachAAA, nearly in its centre, was about two inches be-low the left nipple F. The folds of the villous coat arevisible at 13 Some months after, St Martin suffered extremelyfrom the death and exfoliation of portions of the injur-ed ribs and their cartilages, and his life was often injeopardy ; but through the skill and unremitting carewith which he was treated by Dr Beaumont, he ulti-mately recovered, and, in April, 1823, was going about,doing light work, and rapidly regaining strength. On Cth June, 1823, a year from the date of the acci-dent, the injured parts were all sound, except the per-foration into the stomach, which was now two and a 84 SINGULAR CASE OF WOUND IN THE STOMACH half inches in circumference. For some months there-after the food could be retained only by constantlywearing a compress and bandage ; but early in winter,a small fold or doubling of the villous coat began to ap-pear, which gradually increased till it filled the aper-ture and acted as a valve, so as completely to preventany efHux from within
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