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It occasionally happens that false teeth are accidentally swallowed； and even passed through the intestinal tract。 Easton mentions a young man who accidentally swallowed some artificial teeth the previous night； and； to further their passage through the bowel； he took a dose of castor oil。 When seen he was suffering with pain in the stomach； and was advised to eat much heavy food and avoid aperients。 The following day after several free movements he felt a sharp pain in the lower part of his back。 A large enema was given and the teeth and plate came away。 The teeth were cleansed and put back in his mouth； and the patient walked out。 Nine years later the same accident again happened to the man but in spite of treatment nothing was seen of the teeth for a month afterward； when a body appeared in the rectum which proved to be a gold plate with the teeth in it。 In The Lancet of December 10； 1881； there is an account of a vulcanite tooth…plate which was swallowed and passed forty…two hours later。 Billroth mentions an instance of gastrotomy for the removal of swallowed artificial teeth； with recovery； and another case in which a successful esophagotomy was performed。 Gardiner mentions a woman of thirty…three who swallowed two false teeth while supping soup。 A sharp angle of the broken plate had caught in a fold of the cardiac end of the stomach and had caused violent hematemesis。 Death occurred seventeen hours after the first urgent symptoms。
In the Museum of the Royal College of Surgeons in London there is an intestinal concretion weighing 470 grains； which was passed by a woman of seventy who had suffered from constipation for many years。 Sixteen years before the concretion was passed she was known to have swallowed a tooth。 At one side of the concretion a piece had been broken off exposing an incisor tooth which represented the nucleus of the formation。 Manasse recently reported the case of a man of forty…four whose stomach contained a stone weighing 75 grams。 He was a joiner and； it was supposed； habitually drank some alcoholic solution of shellac used in his trade。 Quite likely the shellac had been precipitated in the stomach and gave rise to the calculus。
Berwick mentions a child of eight months who was playing with a detached organ…handle； and put it in its mouth。 Seeing this the mother attempted to secure the handle； but it was pushed into the esophagus。 A physician was called； but nothing was done； and the patient seemed to suffer little inconvenience。 Three days later the handle was expelled from the anus。 Teakle reports the successful passage through the alimentary canal of the handle of a music…box。 Hashimoto； Surgeon…General of the Imperial Japanese Army； tells of a woman of forty…nine who was in the habit of inducing vomiting by irritating her fauces and pharynx with a Japanese toothbrusha wooden instrument six or seven inches long with bristles at one end。 In May； 1872； she accidentally swallowed this brush。 Many minor symptoms developed； and in eleven months there appeared in the epigastric region a fluctuating swelling； which finally burst； and from it extended the end of the brush。 After vainly attempting to extract the brush the attending physician contented himself with cutting off the projecting portion。 The opening subsequently healed； and not until thirteen years later did the pain and swelling return。 On admission to the hospital in October； 1888； two fistulous openings were seen in the epigastric region； and the foreign body was located by probing。 Finally； on November 19； 1888； the patient was anesthetized； one of the openings enlarged； and the brush extracted。 Five weeks later the openings had all healed and the patient was restored to health。
Garcia reports an interesting instance of foreign body in a man between forty…five and fifty。 This man was afflicted with a syphilitic affection of the mouth； and he constructed a swab ten inches long with which to cleanse his fauces。 While making the application alone one day； a spasmodic movement caused him to relinquish his grasp on the handle； and the swab disappeared。 He was almost suffocated； and a physician was summoned； but before his arrival the swab had descended into the esophagus。 Two weeks later； gastro…peritoneal symptoms presented； and as the stick was located； gastrotomy was proposed； the patient； however； would not consent to an operation。 On the twenty…sixth day an abscess formed on the left side below the nipple； and from it was discharged a large quantity of pus and blood。 Four days after this； believing himself to be better； the man began to redress the wound； and from it he saw the end of a stick protruding。 A physician was called； and by traction the stick was withdrawn from between the 3d and 4th ribs； forty…nine days after the accident the wound had healed completely。 Two years afterward the patient had an attack of cholera； but in the fifteen subsequent years he lived an active life of labor。
Occasionally an enormous mass of hair has been removed from the stomach。 A girl of twenty a with a large abdominal swelling was admitted to a hospital。 Her illness began five years previously； with frequent attacks of vomiting； and on three occasions it was noticed that she became quite bald。 Abdominal section was performed； the stomach opened； and from it was removed a mass of hair which weighed five pounds and three ounces。 A good recovery ensued。 In the Museum of St。 George's Hospital； London； are masses of hair and string taken from the stomach and duodenum of a girl of ten。 It is said that from the age of three the patient had been in the habit of eating these articles。 There is a record in the last century of a boy of sixteen who ate all the hair he could find； after death his stomach and intestines were almost completely lined with hairy masses。 In the Journal of the American Medical Association； March 1； 1896； there is a report of a case of hair…swallowing。
Foreign Bodies in the Intestines。White relates the history of a case in which a silver spoon was swallowed and successfully excised from the intestinal canal。 Houston mentions a maniac who swallowed a rusty iron spoon 11 inches long。 Fatal peritonitis ensued and the spoon was found impacted in the last acute turn of the duodenum。 In 1895； in London； there was exhibited a specimen； including the end of the ileum with the adjacent end of the colon； showing a dessert spoon which was impacted in the latter。 The spoon was seven inches long； and its bowl measured 1 1/2 inches across。 There was much ulceration of the mucous membrane。 This spoon had been swallowed by a lunatic of twenty…two； who had made two previous ineffectual attempts at suicide。 Mason describes the case of a man of sixty…five who； after death by strangulated hernia； was opened； and two inches from the ileocecal valve was found an earthen egg…cup which he had swallowed。 Mason also relates the instance of a man who swallowed metal balls 2 1/2 inches in diameter； and the case of a Frenchman who； to prevent the enemy from finding them； swallowed a box containing despatches from Napoleon。 He was kept prisoner until the despatches were passed from his bowels。 Denby discovered a large egg…cup in the ileum of a man。 Fillion