Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

303/440 (page 285)

285- vasomotor connection between the generative organs and the kidney, that is between the ovarian and renal plexuses, as was supposed by Lanceremix and Fourrier. It is rare for the pain in the renal region to cease during menstruation, as it did in some observations by Grout and Le Ray. The recumbent position alleviates the diffuse pains as well as the circumscribed neuralgias, as set forth by Muller (io6) with regard to the lumbar neuralgia which frequently occurs with moveable kidney. Symptoms arising from the Great Vessels. Although the above symptoms arise principally from pres- sure and traction of the great nerve-trunks and small nerve- fibres, we sometimes meet with symptoms of pressure hy the Tcidney on the great vessels, especially the easily compressible vena cava, with subsequent thrombosis from pressure and oedema of the corresponding lower limb. A very instructive case is communicated by Girarcl (see above. Case 3), only it is doubtful whether in this case the intestines distended with gas, or perhaps some adhesions had not pressed the kidney against the vein. I have observed one case of moveable kidney on the right side with subsequent oedema of the right lower leg, for which no reason could be found except the pressure of the kidney on the vein. The oedema began to disappear as a pregnancy, which had supervened, advanced. Symptoms arising from the Digestive Tract. Very many persons affected with moveable kidney suffer from gastric disturbances, varying from slight epigastric pains and nausea, to phenomena which sometimes amount to- the well-marked signs of chronic gastric and intestinal catarrh, jaundice, or even attacks of peritonitis. These gastric disturbances depend on complaints wliicli happen to coincide, or they are consequences of causes silnilar to those which produce moveable kidney. When, therefore, diseases accompanied by rapid emaciation, such as enteric or severe intermittent fever, or rapidly succeeding labours^