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August 17, 1912


Author Affiliations

San Francisco

JAMA. 1912;LIX(7):540-541. doi:10.1001/jama.1912.04270080222019

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Patient.  —Section Foreman B. R. K., aged 50 years, consulted me March 15, 1912, and gave a history of a log having rolled over his abdomen twenty years before, from which time his trouble dates. For the last ten years he had had a difficulty in passing urine if he held it for any length of time. He had been operated on four years before examination for inguinal hernia on the same side which was now causing the trouble. The present condition began to manifest itself a month before he came to me, at which time patient stated he was thrown back by a cable. I found the external abdominal ring normal in size and a fluctuating tumor about the size of an English walnut just to the right of ring, noticed only when standing up. I made a diagnosis of hernia and sent the patient to the hospital for

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