Our interest in the problem of the ingested foreign body which presents itself below the esophagus has been stimulated by 2 cases seen within recent months at the Boston City Hospital. In 1 of these the anterior wall of the stomach near the pylorus had been perforated by a chicken bone, giving rise to a clinical picture which was confused with that of acute cholecystitis. In the second case the clinical picture was confused with that of acute fulminating appendicitis with perforation and local peritonitis. At operation the terminal portion of the ileum was found to have been perforated by a bit of squash rind. These cases are reported in detail later.
In making this study we have limited our attention to those cases in which the foreign body, or the complications arising from it, have been located below the esophagus and above the rectum, since a foreign body in