On some points in the surgery of the urinary organs / by Reginald Harrison.

  • Reginald Harrison
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: On some points in the surgery of the urinary organs / by Reginald Harrison. 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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    relieved, but in the course of a month he died of exhaustion in consequence of repeated attacks of hematuria. After death, the left ureter was found dilated, the pelvis of the left kidney was also dilated, and contained a villous growth resembling that which I had removed from the bladder. The other case was that of a middle aged man, who presented all the symptoms of calculous pyelitis of the left kidney. The pain was so severe, that I determined to open and explore the kidney, which I did in the early part of December, 1887. I found the kidney not much larger than natural, but it was simply a bag of pus. I could find no stone or other cause for the renal obstruction. The bladder was examined, but nothing abnormal was detected. The patient had a good deal of hematuria after the operation. He got gradually weaker, and died about four weeks after- wards. At a post-mortem examination, a small epithelioma of the bladder was found, which had completely occluded the left ureter, and had thus led to the disorganisation of the corresponding kidney. Such are illustrations of some of the diffi- culties which attend the diagnosis of tumours con- nected with the interior of the bladder ; they certainly seem to indicate the great caution that is necessary in coming to a conclusion that their extirpation should be attempted. I have now completed the task which you, in your kindness, have imposed upon me. It only remains for me to thank you for the patient and attentive hearing you have given me.
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