Abstract
Heart displacement in children is ordinarily due to the presence either of free fluid or free air in the pleural cavity. The following case illustrates a marked type of displacement of the heart to the right in which neither pleuritic effusion, hydrothorax nor pneumothorax played a role. REPORT OF CASE G. P., aged 4 years, Sept. 10, 1919, at 4 p. m., fell into a pile of sand, and on being picked up by his mother stated that he had swallowed some of the sand. No effect was evident at that time, but when the boy was put to bed at 6 p. m., two hours after the accident, musical sounds were heard all over his chest, and he was breathing very rapidly. He was taken to the Children's Hospital four hours after the accident, at which time physical examination revealed nothing beyond the presence of a large number of
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