THE MEDICO-LEGAL ASPECTS OF STONE IN THE BLADDER, IN THE JOREHAUT UPPER ASSAM.

DISTRICT, By

Charles

Forbes,

District Medical

Officer, Jorehaut.

Stone in the bladder is not a this district, and its treatment is

performed only Dr.

by

once

particularly refer. (ret. 40, lithotomy) the fragcalculus weighed 1,200 grains, and the some three weeks after the operation

the

died

patient from

has been

remarks

lateral

own case

ments of

lithotomy

times, viz., by Dr. Elliot at times, by myself once at Cinnemara, Strange at Rungajaun. It is to the

two latter cases that my

In my

still.

seven

Noakacharee five and

affection in

common rarer

the past seven years

During

c.m.,

m.b.,

pyelitis.

I took little note at the time of the fact that the stone was

in

pieces,

when

operated

thought it accurately together I

though

on,

curious that the pieces fitted after removal.

Strange's case,?at which I assisted?the bladder examined per rectum felt like a bag of pebbles, and by the suprapubic operation some twenty sharp fragments were removed. This case did well In Dr.

ultimately. What In a

was

the

surgical

cause

of the fracture ?

text-books it is asserted that fracture of

calculus sometimes and in

bladder; pelled against my better planation for want of Medical Cran late

Gazette for

gives

the

spontaneously in the (my own) I was comjudgment to accept this ex-

occurs

the first

case

1881

Dr.

clue.

several Assamese

In

better.

a

March

Cran

have died

Indian

the

letter

a

of

by Dr. writes,?" Of this disease,

peculiar operation, which I shall describe, as showing the advanced stage of The priest surgery to which they have attained. his raised well the on the back, patient having placed

one

of them after

a

most

anterior wall of the abdomen, placed a stone on one side of it, and belaboured the other with a second stone, desisting when the calculus was supposed to The patient died a few days after the be crushed.

operation." Should I

prefer to the

meet with a

similar

suprapubic operation, bladder can hardly make

the

In the second

case

the

mucous

in tatters and the colour of

serious

case

surgical injuries

raw

for

again, one

I should

wound

matters much

membrane beef.

was

more

worse-

literally

It shows what

children may sustain, and

?J-/ September, 1884.] still survive. cases

being

is,

put Gohain.

My motive in giving publicity

to

these

ultimately to some check the primitive lithotrity of the Jorehaut

that it may lead on

A MIRROR OF HOSPITAL PRACTICE.

261

Stone in the Bladder in Upper Assam.

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