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December 6, 1913


JAMA. 1913;61(23):2062. doi:10.1001/jama.1913.04350240036015

About three years ago1 I described a case of intraperitoneal rupture of the urinary bladder in which operation was performed seventy-seven hours after the receipt of injury. The patient made a good recovery and was entirely free from any bladder symptoms subsequently.

Four years after the operation the man died of pneumonia and the bladder was removed at the post-mortem examination. There were no adhesions along the suture line. The scar of the rupture is represented by a thin line 2¼ inches in length. At the time of the operation the rent easily admitted four fingers. An additional point of interest is the fact that a careful search failed to reveal any trace of the continuous silk suture used at the operation.

Coal-Mine Accidents.  —The risk of coal mining is greatest during the winter months, when the liability of serious mine explosions is increased by the drying