Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

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eleven cliildren and had suffered at times from violent gastric disturbances), a tumour in the left side of the abdo- men wbicb sometimes disappeared. After death, hydro- nephrosis of the left kidney was found. The left ureter was neither obliterated nor occluded by a stone ; on the other hand it was curved upwards at the point where it sprang from the pelvis, and thus formed a valve which closed the orifice of the ureter as soon as a certain collection of urine took place, but if the accumulation became greater, was unable to maintain the occlusion. A temporaiy hydro- nephrosis was thus produced, which explained the attacks. The analogy between this and the condition of the ureter in cases of moveable kidney strikes one at once (see Pigs. 5 and 8), but in neither case was it thought of. Besides these, we find in pictures of hydronephroses the ureter twisted on its own axis. (3) Proofs derived from clinical observations. Intermittent Hy dron ep hrosis. Cases of Hydronephrosis associated with and caused by moveable kidney certainly occur oftener than has been hitherto imagined. Even Simon (137) in 1875 was acquainted with not a single example of hydronephrotic moveable kidneys, although his own explanation of the origin of hydronephrosis from temporary disturbances frequently repeated ought cer- tainly to have led him to regard moveable kidney as the cause in doubtful cases. Since then hydronephroses in wandering kidneys have been observed with certainty (namely by operation), by Fernice (138), Ahlfeld (139), Czerny (140) (two cases), Wagner (141), and Landau (142). All these observations concerned women and the right kidney. The connection between moveable kidney and hydro- nephrosis is recognised most unmistakeably by a symptom which must be regarded as quite pathognomonic in the pro- duction of hydronephrosis by moveable kidney, namely, the periodical filling and emptying of the sac of the hydro- nephrosis. This phenomenon, which attracts our notice