" The calculus was
deposited in the Army Medical Museum at Washington, and is
represented in the accompanying photograph, showing a
cross-section of the calculus with the arrow-head in situ.
As quoted by Chelius, both Hennen and Cline relate cases in which
men have been shot through the skirts of the jacket, the ball
penetrating the abdomen above the tuberosity of the ischium, and
entering the bladder, and the men have afterward urinated pieces
of clothing, threads, etc., taken in by the ball. In similar
cases the bullet itself may remain in the bladder and cause the
formation of a calculus about itself as a nucleus, as in three
cases mentioned by McGuire of Richmond, or the remnants of cloth
or spicules of bone may give rise to similar formation. McGuire
mentions the case of a man of twenty-three who was wounded at the
Battle of McDowell, May 8, 1862. The ball struck him on the
horizontal ramus of the left pubic bone, about an inch from the
symphysis, passed through the bladder and rectum, and came out
just below the right sacrosciatic notch, near the sacrum. The day
after the battle the man was sent to the general hospital at
Staunton, Va., where he remained under treatment for four months.
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