PEDIATRICS Vol. 70 No. 3 September 1982, pp. 461
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SINGULAR RECOVERY OF A FIVE-YEAR-OLD ENGLISH BOY FROM A VIOLENT ACCIDENT (1829)

T. E. C. Jr MD

The case report below gives evidence that children can survive a severe accident. Even more surprising was this child's ability to survive the depleting therapy so commonly used during the early part of the nineteenth century. To The Editor of THE LANCET: Master Y., aetatis five, a healthy child, was negligently crossing the road...at the time a heavy two-wheel cart was approaching at a rapid pace, and which he did not perceive. He was, in consequence, thrown down by the horse, and placed beneath the wheel, which passed over his body at about the situation of his epigastrium. This fact was attested by four persons, present at the time.... The child was stunned at the moment, and taken to his home, which was close at hand. I was immediately sent for and found him crying perfectly sensible, and complaining of acute pain, which was increased considerably on pressure, just beneath the floating ribs of the left hypochondrium, with considerable tenderness also over the upper part of the abdomen. After very careful examination, I found he was free from dislocation and fracture. His right cheek was grazed, and his shoulder, &c. bruised, but he complained of no pain on pressure of any part of his spinal column, the whole course of which I examined attentively. From the nature of the accident, I should have suspected this, à priori, to have been the seat of injury, but I was led to a more minute inquiry respecting its state, by noticing an involuntary discharge of urine shortly after my arrival.