. Chicago medical journal and examiner. peration. It was evidently from the inner table of the bodyof the ischium on the right side, through which bone, the ballpassed. Its size and appearance are shown in this cut. In removing it, the two perineal fistulaewere united by incision, making an externalopening in size and location not unlike whatwould be made for the lateral operation forstone, only on the right side. The fistuloustract was followed and the fragment wasfound to be lodged above the deep perineal fascia near the prostategland, where it had descended from its place of detachment. An-
. Chicago medical journal and examiner. peration. It was evidently from the inner table of the bodyof the ischium on the right side, through which bone, the ballpassed. Its size and appearance are shown in this cut. In removing it, the two perineal fistulaewere united by incision, making an externalopening in size and location not unlike whatwould be made for the lateral operation forstone, only on the right side. The fistuloustract was followed and the fragment wasfound to be lodged above the deep perineal fascia near the prostategland, where it had descended from its place of detachment. An-other fragment of bone was now discovered evidently envelopedby a firm fibrinous deposit, and adhesions involving the prostategland. It had caused a small opening into the prostatic portionof the urethra and sometimes could be felt by the sound as itpassed this point. Its removal was considered impossible with-out inflicting a greater injury than its presence seemed likely tocause, the whole of the prostate gland being involved in what. GUNSHOT WOUND OF THE BLADDER. 513 seemed to be a fibrinous deposit around the foreign body. At thepresent time, two months after the removal of the piece of bone,the opening in the perineum has almost closed, and a little senseof fulness and irritation in the region of the neck of the bladderand prostate gland is now the only source of discomfort. That such a foreign body as a necrosed spicula of bone couldwork its way from a distance, and, in its incomplete attempt tomake its escape from the body, should, with so little harm, remainlodged in the substance of the prostate body, is worthy of point in the case is, that for nine years these fragmentsof bone, although detached at the time of the gun-shot wound, re-mained in their places without causing any suppurative inflamma-tion, and at length becoming dislodged, abcess and fistulse whole case is one illustrative of natures ability to guardagainst damage and repair inj
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