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December 18, 1915


Author Affiliations

Kansas City, Mo.

JAMA. 1915;LXV(25):2163. doi:10.1001/jama.1915.02580250035012

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We wish to report the following case which is of interest on account of its rarity and case history.

History.  —E. M. G., aged 46, married, passenger brakeman. General history of no importance. No history of hemophilia. Twenty years ago he had gonorrhea once, followed a few years later by stricture, for which perineal urethrotomy was done. He has had sounds passed at intervals since, followed by no reaction.

Present History.  —July 28, 1914, while lifting a train box on a train he felt sudden pain in the region of the urinary bladder, followed by a desire to urinate. He voided urine, but as the act of urination was performed in the dark, he does not know whether any blood was passed. A few minutes later he noticed his clothing in the neighborhood of the genitals was damp, and on investigation found it quite bloody. He urinated five or six

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