Surgical cases illustrating some facts of clinical interest / by Charles B. Nancrede.

  • Nancrede, Charles B. (Charles Beylard), 1847-1921.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: Surgical cases illustrating some facts of clinical interest / by Charles B. Nancrede. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    [Reprint from Proceedings of Michigan State Medical Society, 1893.] SURGICAL CASES ILLUSTRATING SOME FACTS OF CLINICAL INTEREST. CHARLES B. NANCREDE, A. M,, M. D., Ann Arbor. May I beg your indulgence in listening to the brief notes of a few selected cases? Each of these has taught me at least one lesson and I believe that what I have learned will not prove devoid of interest to you. I shall divest the histories of all unnecessary verbiage and facts, because I am not striving to give illustrative points for diagnosis, to determine the etiology, or demonstrate the course of the diseases for which the operations were performed. Case I.—Nephrotomy followed by Nephrectomy; Pyaemic Symptoms due to the Nature of the Ligature Material.—A. S., aged twenty-three years, first entered the University hospital February 17, 1892, complaining that for eight weeks, pain radiating from the region of the right kidney had been experienced and that there was a constant but valu- ing amount of pus in his urine. No signs of cystitis existed, but evidences of failing health were present, dating further back than his lumbar pains. I will not dwell upon my reasons for arriving at the diagnosis of pyo-nephrosis, but will say that on February 29, 1892, I did a nephrotomy, evacuating many large cavities in the kidney-substance, which contained abominably offensive pus. He greatly improved in health and flesh, the pus diminished, but continued to be present in the urine, and when discharged, May 19, 1892, a sinus was left, secreting a model ate amount of pus. On October 17, 1892, nephrectomy was done on account of recrudescence of some of the symptoms, especially the amount of pus voided with the urine. Omitting nearly all details of the operation, I will say that the hemorr- hage was very severe from the torn adhesions and that in con- sequence I was compelled by the necessity for haste to leave