Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

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the womb and ascites, a solid moveable tumour was made out during life in the umbilical region. Death occurred with symptoms of coma. At the autopsy a large steatoma was seen on the right side near the umbilicus, enveloped in a yellowish white mass. On opening this, the right kidney could be seen lying in it, enlarged, pale, soft, in a state of fatty degeneration, the cortical substance being hardly brownish-red and bloodless. The renal vessels tore when it was disturbed, and the renal artery alone showed any remaining firmness of texture; tbe ureter was distended to the size of a finger, and filled with fluid down to the bladder. JBraiin's opinion was that the mobility of the kidney was due to the pressure and maceration of the abdominal glands— that this was the cause of the ascites—and that the tenesmus and relaxed state of the abdominal contents had largely con- tributed to the displacement of the kidney. .(7) Moveable Kidney on the right side ; adhesions hetween it and the liver, gall-bladder, and transverse colon ; hydro- nephrosis J uterine infarct; omdtilocular ovarian cyst on the right side (Urag, 1857). In a very thin woman, sixty-five years of age, a tumour €Ould be felt under the anterior edge of the right lobe of the liver. It ran obliquely above and inwards, downwards and outwards; its shape was oval, the upper border convex, the side flatter; it seemed elastic, well defined, moveable, sinking and rising with resj)iration, and in shape resembled the kidney. It would not rotate on its axis, but could be pushed as far as the middle line, into the right renal region, and also somewhat downwards, though these manipulations were painful to the patient. Compared with the left lumbar region the right was sunken and tympanitic on percussion ; if the tumour was pushed into the right loin it became full in appearance and dull to percussion. The quantity of urine secreted in twenty-four hours amounted to iigo cubic centi- metres, its reaction was acid, it was slightly turbid, deeply yellow without deposit, its specific gravity was 1015. The woman died in consequence of bronchiectasis. At