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February 7, 1914


JAMA. 1914;LXII(6):450-451. doi:10.1001/jama.1914.02560310028012

History.  —L. P., aged 41, a carpenter since 16, admitted to the House of Mercy Hospital, Oct. 24, 1912, juggled coins in his mouth and throat, when a youth, for the amusement of his friends. In 1908 he began to swallow nails for money, and later indulged in a diet of knives, cigars, etc., which he would vomit up sometimes and at other times pass by bowel. He said that he was accustomed to swallow 4 feet of 1-inch dog-chain, and women's neck-chains of similar length. These were usually redrawn from the stomach. For the past four or five years the patient has suffered with sharp pains in the abdomen, which were partially relieved by partaking of food. The pains recently had become extremely acute and constant, being localized in the left upper quadrant of the abdomen, and made more severe by any movement of the body.

Examination.  —The bowels

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