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Herman L. Kretschmer, M.D.
JAMA. 1934;103(15):1144-1145. doi:10.1001/jama.1934.72750410002007a.
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Having recently had two intravesical explosions with rupture of the bladder at the end of transurethral electroresections, I wish to call attention to this possible complication.

In this connection I wish to emphasize the following points: First, that the explosions occurred at the end of the resections; second, that they occurred in the 313th and 344th resections, respectively; third, that the complication was recognized and the patients operated on immediately; fourth, that both patients made an uneventful recovery following the surgical repair, and, fifth, that one was an intraperitoneal and the other an extraperitoneal rupture.

Practically every urologist, during the course of fulguration treatment of bladder papillomas, has at some time or another experienced small intravesical explosions.

Interesting in this connection is the report of Cassuto,1 who reported an intravesical explosion in a patient with a middle lobe hypertrophy. He was retouching certain points when there was produced a loud


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