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November 17, 1883


JAMA. 1883;I(19):558-561. doi:10.1001/jama.1883.02390190010002

Poisoning by Caustic Alkali—Feeding by Rectum for 49 Days.  —Dr. McDougall, in charge of the Kulangzu Hospital, Amoy, furnishes the Customs Gazette with the notes of a case of attempted suicide in a woman, by swallowing an ounce of caustic alkali. Vomiting ensued almost immediately, the vomited matter containing a good deal of blood. Three days later the patient was admitted into the hospital very weak and pale, eyes sunken, and lips, tongue, palate, and uvula covered with sloughs. Deglutition being impossible, she was given frequent nutrient enemata, amounting in the day to fifty or sixty ounces of beef tea, eggs and milk. The enemata were retained for three or four hours. After the mouth and throat got well the patient made frequent attempts at deglutition, but without success. On the 45th day a small sized bougie (after many unsuccessful efforts) was passed through one stricture at about the level

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