There was not a drop of urine passed during this time, but
there were discharges through the mouth of alkaline waters with a
strong ammoniacal odor.
Senter reports in a young woman a singular case of ischuria which
continued for more than three years; during this time if her
urine was not drawn off with the catheter she frequently voided
it by vomiting; for the last twenty months she passed much gravel
by the catheter; when the use of the instrument was omitted or
unsuccessfully applied the vomitus contained gravel. Carlisle
mentions a case in which there was vomiting of a fluid containing
urea and having the sensible properties of urine. Curious to
relate, a cure was effected after ligature of the superior
thyroid arteries and sloughing of the thyroid gland. Vomiting of
urine is also mentioned by Coley, Domine, Liron, Malago, Zeviani,
and Yeats. Marsden reports a case in which, following secondary
papular syphilis and profuse spontaneous ptyalism, there was
vicarious secretion of the urinary constituents from the skin.
Instances of the anomalous exit of urine caused by congenital
malformation or fistulous connections are mentioned in another
chapter. Black urine is generally caused by the ingestion of
pigmented food or drugs, such as carbolic acid and the anilines.
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