causes. The following instance resembles considerably the symptoms of
irritant poisoning. A gentleman, 48 years old, quarrelled violently with
another while playing billiards immediately after dinner. Soon
afterwards he was seized suddenly with violent pain in the stomach,
vomiting, cold extremities, and a failing pulse; and he died very soon.
The mucous coat of the duodenum was found much inflamed, and four inches
and a half from the pylorus there was a lacerated hole involving a third
of the circumference of the gut.[150]