Licence: Public Domain Mark
Credit: Outlines of human pathology / by Herbert Mayo. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![mechanical or sympathetic irritation, propagated reflectively from the bladder. Dr. G. H. Barlow mentioned to me a case that he had witnessed, in which the ureters of both kidneys were obstructed through lithic acid calculi. One kidney adhered to the colon, and communicated with its cavity by an ulcerated aperture. A lady mentioned by Sir Benjamin Bro- die, had frequent desire to void the urine, and com plained of a cutting pain at the neck of the bladder; the urine con- tained a muco-purulent secretion; afterwards true pus. Things had gone on thus for tv^o or three years, when the patient, with the usual symptoms, passed a large renal cal- culus, and the original symptoms were relieved. Abscesses of the kidney depending on calculi, have pointed in the loins, and when the calculi have been discharged, have closed. 6. Serous cysts. Small cysts containing a transparent liquid are common in the kidney. \x. 45.] Their growth is supposed to be slow, and they generally produce no derange- ment of the function of the gland : they have been termed spurious hydatids, in contradistinction to true hydatids, which form in, and are occasionally discharged in great num- bers with the urine; the patient sometimes recovering. I shall quote two unusual cases of renal cysts : the first com- municated to the Medical and Chirurgical Society, by Mr. Caesar Hawkins, and remarkable for its rapid formation ; the second, which is described in Sir Benjamin Brodie's Lectures on the Urinary Organs, exemplifies likewise sub- acute inflammation [of the mucous tissue ?] of the kidney. A child, six years of age, was struck down and run over in the street, which caused considerable sweUing of the belly and pain: these symptoms subsided in a few days. The accident occurred at the end of September, 1832. Four or five days afterwards the swelling returned ; it was now con- fined to the right side : the child suffered from feverishness, and became emaciated. The swelling, which in a short time was determined to contain fluid, diminished temporarily with calomel. It then increased anew, with marked change for the worse in the child's health. On the first of December the cyst was punctured through the abdominal muscles, when eighteen ounces of clear fluid were drawn off, with relief to](https://iiif.wellcomecollection.org/image/b21066735_0554.jp2/full/800%2C/0/default.jpg)
