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October 11, 1924


Author Affiliations

Little Rock, Ark.

JAMA. 1924;83(15):1163. doi:10.1001/jama.1924.26610150003013c

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April 12, 1924, a negro man, aged 58, was admitted from the outpatient department of the General Hospital suffering with severe cramps in the lower abdomen. He was much emaciated, and there were no physical findings except a few râles in the chest, and right epididymo-orchitis. Three tacks were found in a specimen of urine, and the nurse disclaimed all responsibility, saying that the urinal was clean. This being reported to the roentgenologist, a picture was taken of the bladder area at the time the patient was sent to the fluoroscope room. The roentgenologist, Dr. Rhinehart, made a diagnosis of foreign bodies in the region of the bladder. An 18 French sound was passed, and a grating click was felt when the instrument entered into the bladder. Rectal examination revealed no masses in the rectum, but grating was felt anterior to the rectal wall with the palpating finger in the

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