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September 14, 1901


JAMA. 1901;XXXVII(11):704. doi:10.1001/jama.1901.02470370034008

By reason of the frequent presence of intestinal bacteria, or the colon bacillus, in the bladder, in cases of cystitis, and of the anatomic relations of the rectum and the bladder, it has been thought that under such circumstances direct infection takes place from the rectum. It has, further, been possible experimentally to excite cystitis by inflicting injury upon the rectal epithelium. In order to verify or refute these propositions R. Faltin1 undertook an experimental investigation, as the result of which it was found that following a lesion of the rectum at the level of the prostate, however profound or extensive, neither cystitis nor the presence of intestinal bacteria in the bladder was observed so long as the latter viscus was uninjured, providing fatal general infection or peritonitis did not occur at the same time as a result of the lesion. Such infection or peritonitis was rather frequent, especially