During
the night she urinated freely, and claimed that she had passed a
worm about ten inches long and of the size of a knitting-needle.
It exhibited motions like those of a snake, and was quite lively,
living five or six days in water. The case seems quite
unaccountable, but there is, of course, a possibility that the
animal had already been in the chamber, or that it was passed by
the bowel. A rectovaginal or vesical fistula could account for
the presence of this worm had it been voided from the bowel;
nevertheless the woman adhered to her statement that she had
urinated the worm, and, as confirmatory evidence, never
complained of pain after passing the animal.
Foreign bodies in the bladder, other than calculi (which will be
spoken of in Chapter XV), generally gain entrance through one of
the natural passages, as a rule being introduced, either in
curiosity or for perverted satisfaction, through the urethra.
Morand mentions an instance in which a long wax taper was
introduced into the bladder through the urethra by a man. At the
University Hospital, Philadelphia, White has extracted, by median
cystotomy, a long wax taper which had been used in masturbation.
The cystoscopic examination in this case was negative, and the
man's statements were disbelieved, but the operation was
performed, and the taper was found curled up and covered by mucus
and folds of the bladder.
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