Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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8, 1890, p. 967). The patient, who was twenty-three years old, began having violent abdominalpains when she was three years old; she had hematuria when eight years old.Attacks of violent pain were referred to the left side low down and were ac-companied by great irritation in the urethra. After each attack abundant pusappeared in the urine. At a first operation a lumbar incision was made and the kidney explored;a kink in the ureter was found and corrected, but the pain soon recurred. PROLAPSE OF THE URETERAL MUCOSA. 543 On July 5, 1890, an abdominal incision was made in the left linea semi-lunaris and the ureter palpated about the pelvic brim, where a stone was feltand pushed up; a longitudinal incision was made in the side of the ureter, asmall oval stone three-quarters of an inch long was removed, and the openingclosed with a fine continuous silk suture. The wound healed without leakageand the patient recovered. The calculus was made up of alternating layers ofuric acid and urates.
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FTr Q0n —Proi vpse of the Ureteral and Vesical Mucous Membrane, most Marked on theLeft Side Slight on the Right. Diphtheritic Inflammation of the Bladder and LeftUreter. Great Hypertrophy of the Bladder Walls.Note the position and narrowness of the ureteral orifices at a and b, and the large pyoureter above the bladder on the left and the smaller hydroureter on the right side. f natural size. Prolapse. An eversion or prolapse of the ureteral mucosa is one of the rarest of the ureteral affections. It is commonest in female children and often- 544 AFFECTIONS OF THE URETERS. est congenital. The prolapse usually depends for its origin upon a narrowingor stricture at the ureteral orifice; the pressure of the urine filling the pelvisof the kidney and the ureter behind this, is then sufficient to cause the ureteralmucosa to pout out into the bladder in the form of a cystic tumor, with theobstructed ureteral orifice at some point of its periphery. In the child the pro-lapsed ureter may even

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