By the tenth day he was passing urine from the urethra,
and on the twenty-fifth day there was a complete cicatrix of the
parts; fifteen days later he suffered from an attack of retention
of urine lasting five days; this was completely relieved after
the expulsion of a small piece of trouser-cloth which had been
pushed into the bladder at the time of the accident. Post reports
the case of a young man who, in jumping over a broomstick, was
impaled upon it, the stick entering the anus without causing any
external wound, and penetrating the bladder, thus allowing the
escape of urine through the anus. A peculiar sequela was that the
man suffered from a calculus, the nucleus of which was a piece of
the seat of his pantaloons which the stick had carried in.
Couper reports a fatal case of stab-wound of the buttocks, in
which the knife passed through the lesser sacrosciatic notch and
entered the bladder close to the trigone. The patient was a man
of twenty-three, a seaman, and in a quarrel had been stabbed in
the buttocks with a long sailor's knife, with resultant symptoms
of peritonitis which proved fatal. At the autopsy it was found
that the knife had passed through the gluteal muscles and divided
part of the great sacrosciatic ligament.
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