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without great twisting of the mesocolon。 Tompsett mentions that he was called to see a workman of sixty…five； suffering from extreme rectal hemorrhage。 He found the man very feeble； without pulse； pale； and livid。 By digital examination he found a hard body in the rectum； which he was sure was not feces。 This body he removed with a polyp…forceps； and found it to be a cylindric candle…box； which measured six inches in circumference； 2 1/2 in length； and 1 1/2 in diameter。 The removal was followed by a veritable flood of fecal material； and the man recovered。 Lane reports perforation of the rectum by the introduction of two large pieces of soap； there was coincident strangulated hernia。
Hunter mentions a native Indian； a resident of Coorla； who had introduced a bullock's horn high up into his abdomen； which neither he nor his friends could extract。 He was chloroformed and placed in the lithotomy position； his buttocks brought to the edge of the bed； and after dilatation of the sphincter； by traction with the fingers and tooth…forceps； the horn was extracted。 It measured 11 inches long。 The young imbecile had picked it up on the road； where it had been rendered extremely rough by exposure； and this caused the difficulty in extraction。
In Nelson's Northern Lancet； 1852； there is the record of a case of a man at stool； who slipped on a cow's horn； which entered the rectum and lodged beyond the sphincter。 It was only removed with great difficulty。
A convict at Brest put up his rectum a box of tools。 Symptoms of vomiting； meteorism； etc。； began； and became more violent until the seventh day； when he died。 After death； there was found in the transverse colon； a cylindric or conic box； made of sheet iron； covered with skin to protect the rectum and； doubtless； to aid expulsion。 It was six inches long and five inches broad and weighed 22 ounces。 It contained a piece of gunbarrel four inches long； a mother…screw steel； a screw…driver； a saw of steel for cutting wood four inches long； another saw for cutting metal； a boring syringe； a prismatic file； a half…franc piece and four one…franc pieces tied together with thread； a piece of thread； and a piece of tallow； the latter presumably for greasing the instruments。 On investigation it was found that these conic cases were of common use； and were always thrust up the rectum base first。 In excitement this prisoner had pushed the conic end up first； thus rendering expulsion almost impossible。 Ogle gives an interesting case of foreign body in the rectum of a boy of seventeen。 The boy was supposed to be suffering with an abdominal tumor about the size of a pigeon's egg under the right cartilages； it had been noticed four months before。 On admission to the hospital the lad was suffering with pain and jaundice； sixteen days later he passed a stick ten inches long； which he reluctantly confessed that he had introduced into the anus。 During all his treatment he was conscious of the nature of his trouble； but he suffered rather than confess。 Studsgaard mentions a man of thirty…five who； for the purpose of stopping diarrhea； introduced into his rectum a preserve…bottle nearly seven inches long with the open end uppermost。 The next morning he had violent pain in the abdomen； and the bottle could be felt through the abdominal wall。 It was necessary to perform abdominal section through the linea alba； divide the sigmoid flexure； and thus remove the bottle。 The intestine was sutured and the patient recovered。 The bottle measured 17 cm。 long； five cm。 in diameter at its lower end； and three cm。 at its upper end。
Briggs reports a case in which a wine glass was introduced into the rectum； and although removed twenty…four hours afterward； death ensued。 Hockenhull extracted 402 stones from the rectum of a boy of seven。 Landerer speaks of a curious case in which the absorptive power of the rectum was utilized in the murder of a boy of fifteen。 In order to come into the possession of a large inheritance the murderess poisoned the boy by introducing the ends of some phosphorous matches into his rectum； causing death that night； there was intense inflammation of the rectum。 The woman was speedily apprehended； and committed suicide when her crime was known。
Complete transfixion of the abdomen does not always have a fatal issue。 In fact； two older writers； Wisemann and Muys； testify that it is quite possible for a person to be transfixed without having any portion of the intestines or viscera wounded。 In some nations in olden times； the extremest degree of punishment was transfixion by a stake。 In his voyages and travels； in describing the death of the King of Demaa at the hands of his page； Mendez Pinto says that instead of being reserved for torture； as were his successors Ravaillac； and Gerard； the slayer of William the Silent； the assassin was impaled alive with a long stake which was thrust in at his fundament and came out at the nape of his neck。 There is a record of a man of twenty…five； a soldier in the Chinese war of 1860； who； in falling from his horse； was accidentally transfixed by a bayonet。 The steel entered his back two inches to the left of the last dorsal vertebra； and reappeared two inches to the left and below the umbilicus； as there was no symptom of visceral wound there were apparently no injuries except perforation of the parietes and the peritoneum。 The man recovered promptly。
Ross reports a case of transfixion in a young male aborigine； a native of New South Wales； who had received a spear…wound in the epigastrium during a quarrel； extraction was impossible because of the sharp…pointed barbs； the spear was； therefore； sawed off； and was removed posteriorly by means of a small incision。 The edges of the wound were cleansed； stitched； and a compress and bandage applied。 During the night the patient escaped and joined his comrades in the camp； and on the second day was suffering with radiating pains and distention。 The following day it was found that the stitches and plaster had been removed； and the anterior wound was gaping and contained an ichorous discharge。 The patient was bathing the wound with a decoction of the leaves of the red…gum tree。 Notwithstanding that the spear measured seven inches； and the interference of treatment； the abdominal wound closed on the sixth day； and recovery was uninterrupted。 Gilkrist mentions an instance in which a ramrod was fired into a soldier's abdomen； its extremity lodging in the spinal column； without causing the slightest evidence of wounds of the intestines or viscera。 A minute postmortem examination was held some time afterward； the soldier having died by drowning； but the results were absolutely negative as regards any injury done by the passage of the ramrod。
Humphreys says that a boy of eleven； while 〃playing soldier〃 with another boy； accidentally fell on a rick…stake。 The stake was slightly curved at its upper part； being 43 inches long and three inches in circumference； and sharp…pointed at its extremity。 As much as 17 1/2 inches entered the body of the lad。 The stake entered just in front of the right spermatic cord； passed beneath Poupart's ligament into the cavity of the abdomen； traversed the whole cavity across to the left