Identifier: practicaltreatis1879robe (find matches)
Title: A practical treatise on urinary and renal diseases : including urinary deposits
Year: 1879 (1870s)
Authors: Roberts, William, Sir, 1830-1899
Subjects: Urine Urinary organs Kidneys Kidney Diseases Urinary Calculi Urinalysis
Publisher: Philadelphia : Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ens from 1005to 1007. The bowels still continued without a passage ; but a sensiblesoftening of the abdomen had taken place, and the elastic swelling on theleft side was very decidedly diminished in size. On the tenth day theurine flowed freely, and fully a gallon was voided before night. It hadthe same characters as the mine passed the previous day. About mid-night on the tenth day, the intestinal obstruction likewise gave way, andan immense quantity of semi-liquid fseces was evacuated. It was nowhoped that speedy recovery would—at least for a time—take place ; buton the eleventh clay the general symptoms were alarming ; no urine wassecreted, the tongue and teeth became coated with sordes, and the pros-tration was extreme. On the twelfth day, death took place, preceded by afit of convulsions, no urine having been discharged for sixty hours. Autopsy.—On opening the abdomen, two soft, lobulated. tumours werefound, one in each lumbar region ; these were the enlarged and sacculated
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Pig. 61. Left kidney—showing the narrowing at the commencement of the ureter andthe obliquity of its entrance into the dilated pelvis (about one-fourth the actualsize). kidneys. The left kidney was ten inches long by about seven broad—the right about a quarter less. To the bulging inner sides of the leftkidney, the descending colon was firmly adherent by a broad attachment ILLUSTRATIVE CASES. 493 for the space of about three inches. It was here that the intestinalobstruction lay ; the bowel was contracted at this spot, and tio-htlvstretched over the distended kidney in such a manner as to preventthe free passage of faeces. The kidnej7s, ureters, and renal arterieswere carefully dissected out with a view of ascertaining the mechanicalcause of the impediment to the flow of the urine, which produced themischief. On the left side (Fig. 61), the renal artery was normal in its distri-bution ; but the ureter presented an anomaly. At its origin from thedilated pelvis, the ureter was excee

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