Chapter 59: 12. The _gullet_ may be perforated in a similar manner either with or
without symptoms. Under the head of the morbid appearances (119) two
instances will be mentioned in which there were no corresponding
symptoms. In the following case symptoms did pre-exist. A man, six weeks
after being bit by a dog, which was killed without its state of health
having been ascertained, was attacked with a sense of strangling,
impossibility of swallowing, delirium, excessive irritability, glairy
vomiting; and he died within twenty-four hours. The gullet, a little
above the diaphragm, was perforated by a hole two-thirds of an inch in
diameter, with thin edges; and effusion had taken place into the
posterior mediastinum.[188]
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