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February 17, 1912


Author Affiliations

Visiting Surgeon, City and County Hospital DENVER

JAMA. 1912;LVIII(7):478-479. doi:10.1001/jama.1912.04260020162017

The peculiar difficulties of diagnosis and the method of removal resorted to in this case, I feel, render it worthy of record.

Patient.  —A man, aged 24, single, glass-blower, with negative family and personal history. Eight months ago he inserted an improvised bougie made of paraffin chewing-gum into the urethra "to relieve an irritation" near the meatus. Instead of being able to force it out, he felt it pass on deeper and glide into the bladder. At first it caused no symptoms, but after several months it began to develop signs of vesical irritation.

Examination.  —When the patient consulted me he presented a classical picture of vesical calculus. Cystoscopic examination with water distention revealed nothing, but with a small quantity of water and sufficient air to complete the distention a foreign body about three-quarters of an inch in diameter and resembling a phosphatic stone was seen bobbing up and down

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