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Article
May 19, 1900

VESICORECTAL ANASTOMOSIS.WITH SPECIAL REFERENCE TO THE TREATMENT OF EXSTROPHY OF THE BLADDER.

Author Affiliations

Surgeon to the German Hospital; Consulting Surgeon to the St. Elizabeth Hospital; Jewish Orphan Home and Home for Aged Jews, Chicago; Corresponding Member of the Sociedad Medica "Pedro Escobedo"; Member of the Pan-American Congress, International Medical Congress, American Medical Association, etc. CHICAGO.

JAMA. 1900;XXXIV(20):1237-1241. doi:10.1001/jama.1900.24610200023001h
Abstract

Experiment 4.  —A male pug cur, weight 22 pounds, was operated on May 6, 1899, and killed May 21. At the postmortem the abdominal incision was found firmly united. The omentum was partly adherent around the site of the anastomosis. The bladder was empty and greatly contracted. On opening the bladder no appreciable changes were noticed, and the opening between the bladder and rectum admitted the tip of a finger. The rectal mucosa below and a slight distance above the fistulous opening was reddened, probably by the urine. Both kidneys looked bluish, not enlarged, nor thickened; the capsule stripped easily and was not thickened. On cut section the pelvis was found undilated, perfectly smooth and to all appearances normal. The proportion of cortex to medulla was normal. All other organs were found to be perfectly healthy.

Bacteriologic Examination.  —A blood-serum and a glycerin-agar tube were inoculated from the pelvis of

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