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February 21, 1914


JAMA. 1914;LXII(8):610-611. doi:10.1001/jama.1914.02560330028011

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REPORT OF CASE BY DR. INGALS  About three years ago Mr. X., aged 42, drew into the airpassages a band of gold that had been fitted around the last molar tooth as a part of a crown. This measured 0.5 mm. in thickness, from 4 to 7 mm. in height at different places, and from 1 to 1.2 cm. in diameter. It was elongated to 1.4 cm. by pulling through the stricture mentioned below. At the time of the accident this was supposed to have passed down the esophagus. It lodged in the first branch of the right bronchus going to the upper lobe of the right lung. The patient had been suffering from a severe bronchitis for several years. After the accident he had four bronchiectatic abscesses in the upper lobe of the right lung, the last about four weeks before coming to me. The true nature of the

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