On the 23d of February, Mr. Harford, residing in Bristol, when feeding a pointer-dog, happened to let the fork tumble with the flesh, and the dog swallowed them both. On the following morning, Mr. Kent was desired to see the animal; and, although he could feel the projection of the fork outwardly, which convinced him that the dog had in reality swallowed it, yet, as he appeared well, and exhibited no particular symptoms of pain or fever, Mr. Kent gave it as his opinion that there was a possibility that he might survive the danger, and the animal was sent to him, in order to be more immediately under his care. The treatment he adopted was, to feed him on cow's liver, with a view to keep the stomach distended and the bowels open; and he gave him three times a day half a pint of water, with sufficient sulphuric acid to make it rather strongly sour to the human tongue, with the intention of assisting the stomach in dissolving the iron.
On the following Sunday, the skin, at the projecting point, began to exhibit some indication of ulceration; and on Monday a prong of the fork might be touched with the point of the finger, when pressed on the ulcer. Mr. Kent then determined on making an effort to extract the fork on the following morning, which he accordingly did, and with but little difficulty, assisted by a medical friend of the owner. The dog was still fed on cow's liver; his appetite remained good, and with very little medical treatment the external wound healed. The animal improved rapidly in flesh during the whole time. He left the infirmary in perfect health, and remained so, with one inconvenience only, a very bad cough, and his being obliged to lie at length, being unable to coil himself up in his usual way.
The fork was a three-pronged one, six and a half inches long. The handle, which was of ivory, was digested: it was quite gone; and either the gastric fluid or the acid, or both conjointly, had made a very apparent impression on the iron.
Dogs occasionally swallow various strange and unnatural substances. Considerable quantities of hair are sometimes accumulated in the stomach. Half-masticated pieces of straw are ejected. Straw mingled with dung is a too convincing proof of rabies. Dog-grass is found irritating the stomach, or in too great quantities to be ejected, while collections of earth and dung sometimes threaten suffocation. Pieces of money are occasionally found, and lead, and sponge. Various species of polypus irritate the coats of the stomach. Portions of chalk, or stone, or condensed matters, adhere to each other, and masses of strange consistence and form are collected. The size which they assume increases more and more. M. Galy relates an extraordinary account of a dog. It was about three years old when a tumour began to be perceived in the flank. Some sharp-pointed substance was felt; the veterinary surgeon cut down upon it, and a piece of iron, six inches in length, was drawn out.
The following fact was more extraordinary: it is related by M. Noiret. A hound swallowed a bone, which rested in the superior part of the œsophagus, behind the pharynx, and caused the most violent efforts to get rid of it. The only means by which it could be made to descend into the stomach was by pushing it with the handle of a fork, which, escaping from the hand of the operator, followed the bone into the stomach. Two months afterwards, on examining the stomach, the fork was plainly felt lying in a longitudinal direction, parallel with the position of the body; the owner of the dog wishing mechanically to accelerate the expulsion of this body, endeavoured to push it backwards with his hands. When it was drawn as far back as possible, he inserted two fingers into the anus, and succeeded in getting hold of the handle, which he drew out nearly an inch; but, in order to be enabled fully to effect his object, it was necessary to make an incision into the rectum, and free the substance from every obstacle that could retain it. This he did not venture to do, and he was therefore compelled to allow the fork to pass back into its former position.
About three months after the accident, M. Noiret made an incision, three inches from above to below, and the same from the front backwards. He also made an incision through the muscular tissue. Having arrived at the peritoneum, he made another incision, through which he drew from the abdomen a part of the floating portion of the large intestines, and introduced his fingers into the abdominal cavity. He seized the handle of the fork, which was among the viscera, and free about half-way down, and drew it carefully towards the opening made in the flank. The other half of the fork was found to be closely enveloped by the origin of the mesocolon, which was red, hard, and inflamed. The operator freed it by cutting through the tissues which held the fork, and then drew it easily out. The animal was submitted to a proper course of treatment, and in three weeks afterwards was perfectly cured.
The food, having been converted into chyme by the digestive power of the stomach, soon undergoes another and very important change. It, or a portion of it, is converted into
chyle
. It is mixed with the bile and a secretion from the pancreas in the duodenum. The white thick liquid is separated, and contains the nutritive part of the food, and a yellow pulpy substance is gradually changed into excrement. As these substances pass on, the separation between them becomes more and more complete. The chyle is gradually taken up by the lacteals, and the excrement alone remains.