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J. P. Browne, M.D.
JAMA. 1917;LXIX(20):1686. doi:10.1001/jama.1917.02590470026008.
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Miss A., a rather thin, anemic girl, aged 16 years, consulted me last July as she was troubled with constipation. She gave a rather obscure history of pain in the bladder and lower abdominal region, especially when urinating or having a bowel movement.

The patient stated that she thought there might be calculi in the bladder and that she had attempted to remove a small stone from the urethra with a hairpin.

A sound, when passed into the bladder, immediately struck a stone apparently at the bladder entrance to the urethra. An operation for removal of the stone was immediately advised, and the patient was removed to Silver Cross Hospital, Joliet, Ill.

A cystoscopic examination revealed the presence of a large stone with a foreign body embedded in it. Suprapubic incision for removal of the mass was determined on and immediately performed. An immense calculus 4 inches in length and


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