Annals of surgery . whichrectal bougies were used. This gave him the idea thatsomething of the kind would relieve his urethral discomfort,so he had been using at intervals of every five or six monthsa piece of chewing gum on the end of a broom straw, whichhe would introduce into the urethra as far as the strawwould go and then withdraw it; this he said would alwaysrelieve him of the peculiar feeling in the urethra. Thischewing-gum straw bougie he had again attempted to use,but on this occasion the piece of gum had come off the strawwhen he attempted to remove it. He was situated so that I coul
Annals of surgery . whichrectal bougies were used. This gave him the idea thatsomething of the kind would relieve his urethral discomfort,so he had been using at intervals of every five or six monthsa piece of chewing gum on the end of a broom straw, whichhe would introduce into the urethra as far as the strawwould go and then withdraw it; this he said would alwaysrelieve him of the peculiar feeling in the urethra. Thischewing-gum straw bougie he had again attempted to use,but on this occasion the piece of gum had come off the strawwhen he attempted to remove it. He was situated so that I could see him every day andnot so that he could undergo an operation at once, so Iexplored the urethra and bladder with sound and cystoscope,and located the gum in the bladder and attempted to extri-cate it with a Bigelows lithotrite, but only succeeded inbreaking it into two pieces. One piece engaged in theurethra the next day and was voided with the urine duringan act of micturition; the other piece remained in the292. A piece of chewing gum showing calcareous depositsafter remaining in the bladder sixty days. CHEWING-GUM IN BLADDER. 293 bladder for sixty days, without giving rise to any trouble,except to temporarily check the flow of urine at times. Atthe end of this period I opened the bladder from above thepubis, and removed the remaining piece of gum. It wascovered with an abundant phosphatic incrustation asshown in the figure. An uncomplicated recovery followed. DISLOCATION OF THE METATARSAL BY LEONARD W. ELY, , OF NEW YORK. The patient, an hotel porter, 45 years of age, presentedhimself at the Roosevelt Hospital Dispensary on February lo,1906, and gave the following history: One hour ago, while ascending on a freight elevator, standingon a trunk, he was caught by the left foot between the trunkand the edge of the side-walk. The foot was apparently flexeddorsally and compressed anteroposteriorly. The patient reachedthe dispensary with assistance. Examination show
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
