A case of papilloma of the bladder successfully removed by operation / by William Anderson.
- William Edwin Anderson
- Date:
- [1885]
Licence: Public Domain Mark
Credit: A case of papilloma of the bladder successfully removed by operation / by William Anderson. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![[Reprinted from Vol. XVITI of the ‘ Clinical Society’s Transactions.''] A Case of Papilloma of the Bladder successfully removed by operation. By William Anderson. Bead May 22, 1885. JAMES S., set. 53, caretaker of a lecture-hall, was admitted into St. Thomas’s Hospital on August 9, 1884, with sym- ptoms of vesical tumour. The first indication of the presence of vesical disease was a spontaneous attack of haematuria in the summer of 1872, during convalescence from a railway accident. The haemor- rhage was unaccompanied by pain or marked constitutional disturbance, and subsided at the end of a few days, leaving the patient perfectly free from symptoms for a year, when a second and precisely similar paroxysm made its appearance. This also passed away speedily, but the succeeding inter- mission was abbreviated to six months, and subsequently recurrence took place at fairly regular intervals about four times yearly. In July, 1882, the man attended as an out-patient at St. Thomas’s Hospital. He was then in the midst of an attack of hematuria, losing a considerable quantity of blood, usually fluid, and voided principally with the final contractions of the bladder, but sometimes also in the form of clots, which escaped at the commencement of the stream. There was neither pain nor increased frequency of micturition, the con- dition was not affected by ordinary exercise, and there were no indications of urethral obstruction. He was somewhat anaemic and debilitated, but was able to discharge the duties of his office. The introduction of a sound into the bladder revealed on the first and subsequent occasions a peculiarly acute sensi- bility localised to the region of the trigone (an area afterwards tound to coincide with that of the tumour), but was otherwise negative in its results. Rectal and abdominal examination gave no indications of disease, and the urine was found to contain no abnormal elements except blood-discs. Neither in the first nor in later investigations were any fragments of villi detected. _ The symptoms yielded at the end of ten days under the admmstration of perchloride of iron, and for a time tbe patient was restored to a fairly satisfactory state of health, but attacks of a similar character recurred again and again at [/***]](https://iiif.wellcomecollection.org/image/b22381600_0005.jp2/full/800%2C/0/default.jpg)
