Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

277/440 (page 259)

Liver enlarged. On turning it up, the right kidney, which was, however, very deeply situated, at once came into view. The kidney was rotated half round so as to bring its outer convex border almost entirely horizontal and looking downwards and on a level with the crest of the ilium, the hilum looking upwards and inwards. The right renal vein ran obliquely upwards and opened into the vena cava inferior at a somewhat acute angle. The ureter which was entirely covered at its origin by the kidney, first describing a slight curve, ran upwards over the trunks of the great vessels, and then passed towards the pelvic cavity as usual. The diameter of the vein, artery, and ureter was normal, no special altera- tions attributable to the abnormal position of the kidney could be made out. The only difference between the kidneys was that the right was somewhat smaller than the left. The right kidney was 4I in. long, 2| in. broad, i§ in. deep ; the left was 5| in. long, 2| in. broad, if in. deep. (14) Moveable Kidneij on the right side (Jago). In a woman who had lost much flesh from obstinate vomiting, a moveable kidney was discovered on the right side. Pressure against its lower end made it slip away from the hand upwards, and the upper end could be pressed to right or left. Pressure on the upper end drove the tumour plainly, but only a little, downwards. If seized with the whole hand it could be pushed upwards, but the hilum could not be reached. If pressed downwards, it was so smooth that it slipped away. At the autopsy the kidney could be displaced from the loin to the extent of two inches above and three inches below, this mobility not being restrained by the vessels. The peri^ toneum was adherent to the whole anterior surface of the kidney, and to part of its lateral and posterior surfaces, but did not enclose the emerging vessels so as to form a mesen- tery (mesonephron). The peritoneum passed somewhat loosely from the kidney to the adjacent organs in the loin