It is rather a rare occurrence for an aspirated foreign body to migrate through the lung and the pleural cavity and finally to perforate to or through the skin of the chest wall. In June 1933 I had the opportunity to see a child in whom this phenomenon took place, and my curiosity as to the frequency of this occurrence was aroused. A search of the literature, including the Index Medicus and the Quarterly Cumulative Index Medicus, from 1879 until the present time, revealed eight similar cases. Dr. Louis Clerf called my attention to two more cases reported by Samuel D. Gross and also to one reported by Dr. H. B. Graham, in which a small branch of cedar was aspirated. This child died on the eighth day following the accident. The postmortem examination showed that the foreign body had perforated the visceral pleura over the lower lobe of the
SEYDELL EM. SPONTANEOUS PERFORATION OF THE WALL OF THE CHEST BY AN ASPIRATED FOREIGN BODY. Arch Otolaryngol. 1937;26(2):189–194. doi:10.1001/archotol.1937.00650020205008
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