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Article
April 9, 1910

RUPTURE OF THE URINARY BLADDER OPERATED ON SEVENTY-SEVEN HOURS AFTER INJURY

Author Affiliations

HONOLULU, H. I.

JAMA. 1910;LIV(15):1207. doi:10.1001/jama.1910.92550410001001n
Abstract

With the literature at my disposal, I was under the impression that this was a very unusual case in respect to the interval of time between the injury and the laparotomy. In von Bergmann's surgery, vol. v, a case of Roses is recorded in which the patient was operated on 48 hours after the injury, and this is considered as probably the longest interval of time on record followed by a successful outcome. Quick,1 however, reported an extraordinary case of 254 hours' interval. In this case the patient was able to void some urine, and the rupture "admitted the thumb rather tightly." The same article mentions Blumer's patient, operated on on the sixth day, and Alexander's case with 90 hours' interval. While the above reported cases render mine not unique, there is enough of interest to make it worth reporting.

History.  —The patient, a native

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