At the operation he had removed the diseased area at the apex of the right lung, together with sound tissue for two cm.

in every direction.

Tuffier stated that the result of his operation had been perfectly successful and the patient had shown no suspicious symptoms since.
Rupture of the Lung Without Fracture .-- It is quite possible for the lung to be ruptured by external violence without fracture of the ribs; there are several such cases on record.

The mechanism of this rare and fatal form of injury has been very aptly described by Gosselin as due to a sudden pressure exerted on the thoracic wall at the moment of full inspiration, there being a spasm of the glottis or obstruction of the larynx, in consequence of which the lung bursts.

An extravasation of air occurs, resulting in the development of emphysema, pneumothorax, etc.