I report this case because of its infrequent occurrence, many interesting features, and the various problems it presented which are of interest to the surgeon.
A man, aged 50 years, weighing 94 pounds, and suffering from chronic nephritis, attempted suicide, 3 p. m., Oct. 24, 1915, by cutting his throat with a paring knife ground down to a fine point. About two hours later he was found lying unconscious in a pool of blood with a gaping wound in his throat. Life was apparently almost extinct because of the loss of blood and his already weakened condition from the chronic nephritis, but an effort was made by the physician to unite the divided trachea temporarily, after which the patient was brought 20 miles to the hospital and was seen by one of my colleagues. Under ether anesthesia the wound was reopened and the divided trachea united and the skin incision