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September 27, 1902

A UNIQUE CASE OF VESICAL CALCULUS.

JAMA. 1902;XXXIX(13):773. doi:10.1001/jama.1902.52480390039003

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Abstract

James Trimble, Co. D, 63d Pennsylvania, aged 62 years, says he was wounded at the second battle of Bull Run, Aug. 29, 1862, while in a kneeling posture, by a ball which entered the inner side of the left thigh about five inches below the groin. A puckering cicatrix verifies his statement. He says he was treated in the army hospital, where futile efforts were made to locate the ball; that the wound healed uninterruptedly, and that he was soon enjoying his usual good health.

During January, 1902, he commenced to have vesical derangement and was troubled more or less until July 30, 1902, when he was admitted to hospital with retention of urine. An attempt to catheterize him was made, but was unsuccessful; the catheter could not be passed beyond the prostatic portion of the urethra, where it met a hard resisting substance. On palpation, a hard tumor about

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