Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

329/440 (page 311)

does not always uecessavily result therefrom. In addition to those given above I have found the following pathologico- anatomical reports which confirm my hypothesis. Sandifort (133) reports a case of hydronephrosis in which the ureter, which was pervious, was twisted on its axis : Een dexter sanus; sinister morbosus. Hie quippe, ex- pansus insigniter, ultra quinque pollices longus, tres cum dimidio latus, et pressioni cedens, singularem et pelvis et totius corporis monstrabat expansionem, vere hydropicam , . . Ureter . . superior! in loco quidem parum prominulus, sed dein contractus et quasi contortus erat, ad vesicam sanam descendens, et toto hoc in tractu minime expansus, verum potius contractus, non tamen tantopere, quam superior! in loco, ubi haec constrictio tanta erat, ut, compresso maxime rene, non nisi paucee liquoris flavi urinosi prodirent guttulse. Fisso uretere contractus maxime ureter et ferme occlusus apparuit, ubi ex pelvi originem trahit. The ureter was therefore pervious.^ Haller (134) reports: In a woman who had died of dropsy, a tumour had grown some years since below the navel, and was regarded by the surgeon as a rupture. After death it was found that this lay beneath the peritoneum and omentum, it was membranous, white, and filled with water, an ureter arose from it, and traces of renal papillas were found in it. A remarkahle instance of a lteration in the ^position and structure of the Iddney. The other kidney was quite healthy and lay on the right side.^^ The two following cases are still more striking : Bare (135) found double hydronephrosis in the body of :a woman, 38 years of age, in whom a large tumour in the left as well as in the right side had occasionally appeared and disappeared. That on the right side was still full, the left nearly empty. The only impediment to be found was that hath lireters ivere twisted on their own axis. As soon as the ureter was separated from the surrounding tissues and untwisted, the urine collected on the right side flowed freely away. Hare regarded the cause of the twisting as congenital. P. Wilse (136) saw in a woman aged 39 (who had had ' Incorrectly quoted by tlic iuitlior.—Translatoe.