Dissection of a Remarkable Tumor. 157 



pupils of that institution conceived himself justified in 

 taking charge of the patient. A blister was applied to 

 the breast, and some medicines prescribed, the particu- 

 lar operation of which I did not learn. But, whether 

 owing to the natural progress of the affection, or to the 

 means recently recommended, the child became much 

 worse, and on the second of April I was called up by 

 the father, who represented his son as dying. 



I found it extremely restless, strong and tense pulse, 

 with a hurried and very uneasy respiration, attended 

 with the most ardent thirst. Six ounces of blood was 

 ordered from the arm, which seemed to afford some re- 

 lief; a calomel purge was prescribed, which operated 

 well ; and the blood-letting was repeated a few hours af- 

 ter, but without any additional advantage : in the after- 

 noon the alarming symptoms returned, and death termi- 

 nated the little innocent's sufferings. 



At my particular request, permission was given to 

 inspect the body, and the following were the appear- 

 ances on the partial dissection that was made. On re- 

 moving the sternum, and bringing the lungs and trachea 

 into view, a large tumor was found to occupy the an- 

 gle of the trachea which constitutes the commencement 

 of the bronchia ; its size and form resembled that of an 

 English walnut; one end pressed forcibly against the 

 angle, and for some distance along the branches, so as 

 to lessen their diameter considerably, and projected 

 through against the oesophagus ; while the other part ex- 

 tended up between the trachea and superior cava, press- 

 ing against the cava, the diameter of which was so 



