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August 20, 1898


JAMA. 1898;XXXI(8):375-381. doi:10.1001/jama.1898.92450080001001

During the last two centuries observations of the passage of gas with the urine have been made from time to time by various authors, and lately a number of very detailed accounts of this phenomenon have appeared. Brierre de Boismont in 1825 mentioned the spontaneous production of gas in the bladder and considered it due to a sort of flatulence or secretion of gas by the bladder mucosa. Roche confirmed this and Chomel added to the suggestion of gaseous secretion from the membrane, the idea that the gas might be due to fermentation. But up to 1860 practically all the instances were in cases of fistulous communication between the bladder and intestine, and when in that year Raciborski was called to treat a man who passed bubbles of gas from the urethra he first satisfied himself that there was no vesico-enteric fistula, before describing the case as one of spontaneous