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October 29, 1887


JAMA. 1887;IX(18):575. doi:10.1001/jama.1887.02400170031013

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Dear Sir:  In The Journal of October 15, page 502, appears the report of a case of labor complicated by cystocolpocele, in which the author says he has found but 37 recorded cases. If of value to the profession, allow me to report the following case:On September 24, 1887, I was called to attend a case of labor at full term. Labor pains had occurred regularly for the past six hours, though light in character. Upon making a vaginal examination, I found a fluctuating tumor about the size of a fœtal head, depending direct from the superior vaginal wall; the tip of the finger could detect the patulous os, but could not reach the presenting part of the child. The tumor was not painful, nor had there been marked desire to urinate. Patient had passed water several times that day.I suspected a prolapsed bladder, and requested the patient

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