Baudens successfully removed the ball by an incision above the pubis; Guthrie by the lateral operation. Hutin mentions two cases in which a ball or foreign body was removed by lateral incision, one after thirty-two years', and the other after nineteen years' residence in the bladder. In one of these cases three calculi were removed, having pieces of cloth as their nuclei. Besides these. Mr. Pixon, in the.'J.'Jrd volume has Driven the particulars nl' ten other eases in which halls were successfully removed, and three in which the attempt failed. Nearly all of tirnts were operated on years after wounded. In the Molical Examiner for 1855 a case is recorded in which a large ball, driven into the;der, was not found till two years after, on the death L patient.
It formed the centre of a laruv calculus concretion. The following case I find detailed in the Report from >t at Landour for Private West was wounded on the hip by a grape shot at Chill ianwallah. The ball was lost, and the wound healed kindly in six weeks. A day or two alter licin1 wounded, he experienced a scalding sensation in the urethra on mictur1 he showed marks of a nrethral discharge on his linen, which he thought was a return of an old gonorrhoea. He was treated under this idea for a time, the symptoms of intlammat ion in the bladder being ascribed t gonorrhoea. attacks of cystitis became so severe as to cause his Madder to be examined, when a hard sube.e was discovered.
The introduction of the instrument pain, and it was only on the second trial This.-a-.ir. f.-rml to by Gathrie, and hu been n Mr. Dixon's paper, but with some va i in the text. I L'7-l pus in his faeces after he was wounded. Hence it iprobable that the ball entered by the sciatic notch, and traversed the rectum, entering the bladder at its bad; part." The following is a fair example of a penetrating wound of the bladder: Griffith, private 57th regiment, was admitted into the general hospital in the summer of 1855.
A ball had entered his left hip, close to the tuber ischii, and escaped on the abdomen, two inches above the symphysis, a little to the right of the middle line. Urine escaped by the anterior opening. A catheter was passed into the bladder and retained there. He had no bad symptoms of any kind for twelve days. His urine passed by the catheter, and also by the opening on the abdomen. His pulse remained quiet, and his abdomen without uneasiness. His general health was unimpaired, and his bowels acted regularly. The posterior wound, through which urine never passed, closed rapidly. On the twelfth day, he had severe pain in the abdomen, which was, however, relieved by a dose of opium, and he never afterwards had a bad symptom or uneasy feeling, except the irritation occasioned by the urine flowing on the abdomen, which could not be altogether prevented.