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January 3, 1903

Clinical Report.

JAMA. 1903;XL(1):34-35. doi:10.1001/jama.1903.02490010042002

A CASE OF URETERO-TRIGONO-INTESTINAL ANASTOMOSIS FOR THE RELIEF OF EXSTROPHY OF THE BLADDER.*  JULIUS H. JACOBSON, M.D.SURGEON TO LUCAS COUNTY INFIRMARY HOSPITAL.TOLEDO, OHIO.The patient is a male, aged 29, who entered the Lucas County Infirmary Hospital April 2, 1902. The father died of Bright's disease; the mother of so-called dropsy; brothers and sisters all living; no tuberculosis or cancer in the family.The patient relates that since birth he has had no control over his urine; it has always dribbled away, but he did not know what it was. He was operated on, when still a child, in Griefswald, Germany, but can not give the exact nature of the operation. He has always been obliged to wear some sort of receptacle to hold the urine, otherwise he has enjoyed the best of health. About one year previous to his entrance to the hospital, he underwent several operations

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