Remarks.?I have during the 9 years medicoI have been considering had exclusive of this case 7 deaths from precisely similar accidents, in 5 of them the cause of death was ascertained to have resulted from fractures of one or more of the cervical vertebrae with injury of the spinal cord, and in 2 from shock following fractures of the sternum. I have not been able to find a case exactly similar to the one I have given above in any medical work. The only case I can find regarding injuries to the phrenic nerve is in Volume I, at page 605 of Erichsen's Science and Art of Surgery (seventh edition), and which is as follows:? "The division, however, of the respiratory nerves on the one side only, or even of oue of them would in all probability be fatal in man by interfering with the proper performance of the respiratory act. In a case with which I am acquainted while the phrenic nerve was divided during ligature of the subclavian artery death resulted iu a few days from congestion of the lunge."
legal experience
A CASE OF RUPTURE OF THE RIGHT PHRENIC NERVE FOLLOWED BY INSTANTANEOUS DEATH. By S. COTJLL MACKENZIE, M.D., Police Surgeon of Calcutta.
On the forenoon of the 18th August 1883, a or porter, named Dagan Koonne, while
cooly
a bag of tamarind fruit from the river side to a boat on the river bank, slipped and fell on his back with the bag on the front of his thorax. His fellow labourers picked him up at. once, but found he was dead. The police had the body removed to the Calcutta morgue where I examined it about 22 hours after death with the followiug result:? The body was that of an adult native male of about 40 years of age. Ifc was well nourished and no external mark of violence could be detected on it. The lungs were found to be highly congested. The heart was healthy. The right cavities of the heart were full of dark fluid blood. The left cavities were empty. The liver, the spleen, the kidneys and the vessels of the brain were congested. The stomach, the intestiues, the bladder, the larynx and trachea, the oesophagus, and the substance of the braiu were healthy. No bones were
carrying
fractured.
which could be detected the of right phrenic nerve in rupture front of the root of the right lung. I gave it as my opinion that the deceased died from the rupture of this nerve. The
wa9
a
only injury
legal experience
A CASE OF RUPTURE OF THE RIGHT PHRENIC NERVE FOLLOWED BY INSTANTANEOUS DEATH. By S. COTJLL MACKENZIE, M.D., Police Surgeon of Calcutta.
On the forenoon of the 18th August 1883, a or porter, named Dagan Koonne, while
cooly
a bag of tamarind fruit from the river side to a boat on the river bank, slipped and fell on his back with the bag on the front of his thorax. His fellow labourers picked him up at. once, but found he was dead. The police had the body removed to the Calcutta morgue where I examined it about 22 hours after death with the followiug result:? The body was that of an adult native male of about 40 years of age. Ifc was well nourished and no external mark of violence could be detected on it. The lungs were found to be highly congested. The heart was healthy. The right cavities of the heart were full of dark fluid blood. The left cavities were empty. The liver, the spleen, the kidneys and the vessels of the brain were congested. The stomach, the intestiues, the bladder, the larynx and trachea, the oesophagus, and the substance of the braiu were healthy. No bones were
carrying
fractured.
which could be detected the of right phrenic nerve in rupture front of the root of the right lung. I gave it as my opinion that the deceased died from the rupture of this nerve. The
wa9
a
only injury
