Five cases of suprapubic cystotomy : three for stone, one for tumor in the bladder, and one for exploration with catheterism of the ureters : one death / by W.W. Keen.

  • William Williams Keen
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Five cases of suprapubic cystotomy : three for stone, one for tumor in the bladder, and one for exploration with catheterism of the ureters : one death / by W.W. Keen. 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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    in that position, not only did the peritoneum fall down and away, but the bladder was made accessible, although being so deeply placed. Neither the rectal bag nor filling the bladder with water raised it to the abdominal wall, and I was seriously afraid that the bladder had been ruptured, although no more water was injected than the capacity of the bladder easily permitted. Case IV. Papilloma of the bladder; removal by suprapubic cystotomy ; recovery.—Mr. S., aged fifty- seven. (The following history was furnished by Dr. Lorini, his medical attendant.) Family history negative ; no cancer. He had malaria in the sixties with biliary fever. He had marked trouble with his gall-bladder from 1878 to 1881, and visited Carlsbad, since which time he has had no return of the trouble. There is no history of urinary calcu- lus or gravel. In 1885 he had an attack of cystitis with blood in the urine for a few days. He was circumcised in 1887. For thirty years he has had a sense of discomfort in the small of the back. About August I, 1889, after a horseback ride at Ocean Beach, N. J., bleeding from the bladder began, but yielded to internal remedies after two days. August 15th, another attack came on and continued for a few days, but yielded again to the same remedies. In January, 1890, a third attack lasted for nine weeks, in spite of internal remedies and the actual cautery over the back. In April and May his bladder was washed out with boric acid and nitrate of silver solutions of various strengths. After five days the bleeding stopped, but returned again about the middle of June, and continued up to the middle of August, in spite of the use of the nitrate of silver and boric acid solution. He spent the summer