INFORMAL PRESENTATION OF TWO UROLOGICAL 
CASES: ONE A DIVERTICULUM OF THE BLADDER, 
AND ONE A LEFT RENAL CALCULUS COMPLI- 
CATED BY PYELITIS 
By Capt. Ivy A. Pelzman 
Medical Corps, United States Army 
DIVERTICULUM OF THE BLADDER 
James A. Sommerville, civilian employee, Quartermaster 
Corps, age 58. 
Previous personal history : Negative, except for usual diseases 
of childhood. 
Venereal history: Negative. 
History of present condition . — The patient was first admitted 
to the Department Hospital on April 22, 1918. At that time 
his chief complaint was frequency of urination, burning pain on 
urination, and a bearing-down pain over the bladder region. 
He voided two or three times an hour during the day, and would 
have to get up as often as ten to twelve times during the night. 
He was placed on bladder irrigations and given urotropin in- 
ternally, and after nine days in the hospital was discharged as 
slightly improved. 
One month later he was readmitted complaining of a recur- 
rence of the symptoms; he was in the hospital two weeks this 
time, and was again put on bladder irrigations and urotropin, 
and again discharged as improved. 
Two days after discharge from the hospital he returned for 
his third admission with another recurrence of the acute urinary 
symptoms. 
The diagnosis made during these various admissions was hy- 
pertrophied prostate and cystitis, acute, cause undetermined. 
Laboratory findings: Wassermann, negative; examination of 
prostatic secretion and sediment from urine, negative for gono- 
cocci; urinalysis showed marked reaction for albumin; micro- 
scopically, many pus cells; otherwise negative; stool and blood 
examinations, negative. 
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