A Case of Impaction of a Knob of Wood in ósophagus, which had been swallowed with suicidal intent. ósophagotomy—Death
M. M., female; single, æt. 37; admitted into Dundee Asylum 24th December, 1874. Patient had been more or less insane for eight months, during which time she had frequently threatened suicide, and declared that she had often tried to poison herself, but could never succeed in doing so. Has been in the habit of taking laudanum freely, although the quantities consumed could never be ascertained, Has taken no solid food for three days, giving as a reason that she could not get it over, as she had swallowed the knob of a mirror, and which was sticking in her throat. Her friends assured me that this must be a delusion, as she swallowed fluids easily. The first medical certificate on patient's admission paper testified that she “is highly nervous and excitable, insists that she has swallowed a round ball of mahogany to destroy herself;” the second one that she “says she has swallowed something that will be sure to kill her, and although quite able to swallow, declares that she is not able to let over even a mouthful of water. She has various other delusions.”