Transactions of the Clinical Society of London. ...

Front Cover
Longmans, Green, and Company, 1898
 

Common terms and phrases

Popular passages

Page 132 - solitary kidney." Then, following upon Morgagni, Rokitansky limited " solitary kidney" to those cases in which the malformation was due to the fusion of two organs, of which the lowest degree is seen in "horse-shoe kidney," and the highest in those instances in which the two kidneys approach one another more and more, and form one " disc-shaped" organ lying in the median line, and provided with a double ureter. To the other class of kidneys where there is a " right or left kidney which is normal...
Page 155 - The anterior surface of the mass is irregularly lobulated ; the posterior surface is smooth. There are two distinct pelves, one above the other, each in its own hilum. The upper hilum presents anterointernally ; the lower anteriorly. " The ureters, which are of normal dimensions, pass downwards and outwards from the corresponding pelves, and lie in grooves on the anterior surface of the mass. The upper entered at the right, the lower at the left angle of the trigone. The bladder was normal. The vascular...
Page 130 - Rayer mentions an instance where the right kidney was forced down by an enlarged suprarenal body, and cites a case of Hohl's where the kidney, situated deeply to the inner side of the psoas muscle, offered an obstruction to parturition by retarding the passage of the child's head; Laennec also describes a case in which the right kidney was pressed downwards to the opposite iliac crest by a greatly enlarged liver, and Morris mentions an instance where the left kidney was depressed on to the brim of...
Page 123 - As a general rale, malpositions of the kidney are associated, particularly when the displacement is congenital, with some deviation from the normal in regard to the position of the large intestine and peritoneum, and, not uncommonly, the distribution and number of the bloodvessels, and the course and length of the ureters are found to be abnormal. Roberts states that in twenty-one cases of congenital malposition of the kidney, which he was able to collect and compare, the abnormality was in every...
Page 169 - ... sinus forceps and pushed through the substance of the brain into the expanded lateral ventricle. The brain was very thin at this point and clear fluid escaped immediately. Having thus arranged one end of the drain in the subdural space and the other in the ventricle, three fine catgut stitches were employed, in completely closing the opening in the dura mater, and the skin was stitched up with a continuous silk suture.
Page 130 - ... cyst in its lower part, which contained a pint of yellow fluid. The cyst had dragged the kidney down, and itself occupied the greater part of the pelvic cavity. CASE 7. Acquired displacement of the right kidney by a perinephric abscess. In a case of perinephric abscess upon which I operated in 1890, on opening the abscess by a lumbar incision, after the pus was evacuated, great difficulty was experienced in finding the kidney. By enlarging the incision upwards, the kidney was discovered with...
Page 28 - No connection could be traced between the amount of antitoxin administered and the occurrence of rashes or late pyrexia, but the pain in and about the joints appears to have a relationship to the amount of antitoxin used. " The results of the Committee's investigation tend to show that by the use of antitoxin — 1. The general mortality is reduced by one- third. 2. The mortality in tracheotomy falls by onehalf. 3. Extension of membrane to the larynx very rarely occurs after the administration of...
Page 118 - ... number, form, size, or situation, must be considered of moment to those who have frequently to operate upon the renal organs. The amount of literature on the subject published within the last ten years is a testimony to this.
Page 173 - He was * Read at the Sixth Annual Meeting, July, 1898, of the British Medical Association, Section of Diseases ot Children. further able to prove experimentally that "no pathological increase of cerebral tension can be transmitted by the cerebrospinal fluid, because this fluid can never be retained in the meningeal spaces at a tension higher than that of the cerebral veins.
Page 158 - Wood 1 describes such a case. He says: "That in a male subject four ureters were discovered emerging from the hilum of each kidney, they united after proceeding about four inches towards the bladder forming a pelvis from which sprang the ureter proper. On section of one kidney the hilum was found occupied by a quantity of fat and connective tissue, embedded in which the ureters could be traced to the infundibula communicating with the calices and pyramids; thus there was no pelvis within the hilum,...

Bibliographic information