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To the Editor of the Journal of the American Medical Association:
The following case may present some unusual points of interest:
I was consulted at different times by T. S., aged 55 years, a practitioner of medicine, not of the regular school of practice, in regard to a bladder trouble. He had frequent urination, and a constant discharge of pus. He stated that he had been shot by a pistol-ball through the scrotum during the late war. He said he thought he had stone in the bladder, or that the pistol-ball had lodged in or near the bladder. That he could not stand horse-back riding; had frequent perineal abscesses; was confined to his bed for days at a time occasionally. He was in bad health, and his general appearance indicated a urinary trouble. His urine had a horribly ammoniacal odor. I advised perineal section, and he consented. On March 17,
Welsh WJ. A Case of Perineal Section—Foreign Body Found in the Urethra.. JAMA. 1892;XVIII(22):690. doi:10.1001/jama.1892.02411260032017