Report upon a specimen of xanthic oxide calculus / by W.W. Keen.

  • William Williams Keen
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Report upon a specimen of xanthic oxide calculus / 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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    [After the readiiii; of the precedinjr [laper:—] Dr. John B. rvOitKUTS stated that in 1873, Dr. R. J. Levis ope- rated for vesical ealcuhis by lilliotrity on a man. Tlie patient, wiio was aged G9 3'ears, was an inmate of tlie I'ennsylvania Hospital. Tlie fragments were examined l)y the late Dr. II. I). Ilare, tlie well- iinown i)athologieal chemist, and fonnd to consist of xantliic oxide. Tiie patient was diseliarged by request of his friends, while some of the stone still remained in the bladder, and passed from the surgeon's observation. Dr. .Tamks Tyson said that in connection with the case just re- ported by Dr. Keen, he desired to place on record a case wliich came under his own observation, of jjersistent cystin sediment in urine, concurrent with impacted oxalate of lime calculus. G. B. W., a very intelligent physician residing in one of the southern counties of Pennsylvania, and 45 years of age when he first saw him, was lithotomized in Baltimore when he was 28 j ears old, and a calculus of pure ct/iilin removed. From that time he con- tinned, according to his own account, to pass cystin daily. Early in January, 1879, a specimen of urine was sent to Dr. Tyson in which there was considerable pns and a proportionate amount of albumen. In this specimen there was found no cystin, but in later specimens there were found large numbers of tiie charac- teristic crystals along with pns and albumen. A little later Dr. Tyson visited him at his home, and found him suflering greatly with extreme lumbar pain, attacks like which he had frequently had before, but the present was one of unusual duration, and had greatly prostrated him. There seemed ever}- reason to believe there was a calculus impacted somewhere between the left kidney and the bladdi-r. His sntTcrings continued, and he was only relieved by death, which occurred on the 0th of March, 187!). Tlie following notes of the autopsy were received from Dr. \Vm. B. llowland of Uowlandsville, Md.: Tlie po.s/-j?jo?-<eHi examination revealed a calculus in the left ureter just ready to pass into the bladder. The calculus was the size of a large pea, and Aciy rough. Just behind where the calculus was found in the ureter was a collection of pns, dipping down into the pelvis, which wcnild soon have made its exit through the ischiatic foramen if life had been prolonged.