A Case of Sacculation of the Bladder Containing a Dumb-Bell-Shaped Calculus

Sir,?A boy, aged 12 years, was brought, to the Civil Hospital, Bhuj, for difficulty of micturition, &c. A sound was passed, and a stone in the bladder was diagnosed. The patient was apparently in intense pain and stooped a good deal while walking. After the usual preparations, the patient was put on the table for operation. It was proposed to do a litholapaxy. When the patient was under chloroform a canula was passed. It would touch the stone but would not go into the bladder up to its usual length. The boric lotion which was injected in the bladder would go in very slowly and would not return easily. A lithohite No. 8 was passed, It would touch the stone but would not enter the bladder. It was naturally presumed that the stone was a very big one and that it occupied greater part of the bladder. Unfortunately, examination with a finger per rectum was