Licence: Public Domain Mark
Credit: On the causes of death after lithotomy / by Thomas Bryant. 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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![for ten years^ was cut, when on the fifth day symptoms of ])eritoiiitis appeared, which proved fatal in twenty-four hours. No post-mortem examination was made. Case xxi.—A fat man, eet. 50, was lithotomized, and the stone removed with some difficulty, as it continued to elude the forceps. The patient never rallied, and died thirty-two hours after the'operation. The pelvic peritoneum was found after death to be minutely injected, and in the pelvis was some slightly puriform effusion. The cellular tissue beneath and round the bladder was ex- tremely lacerable. The prostate was cleanly cut. The mucous membrane of bladder was ecchymosed, but otherwise healthy. Kidneys slightly mottled ; other viscera healthy. Case xxii.—A man, set. 51, after lithotomy, had some oozing of blood; did well till the fifth day, when marked symptoms of pelvic cellulitis appeared, and he died upon the sixth. No post-mortem examination was made. Case xxiii.—A man, set. 54, after being cut, had slight hsemorrhage. Upon the second day erysipelas of parts ap- peared, upon the sixth rigors, followed by death upon the eighth, with symptoms of pelvic cellulitis. No post-mortem permitted. V. Pyelitis and Pelvic Cellulitis as a cause of death. The combination of pyelitis and pelvic cellulitis is not an uncommon one, as out of the forty fatal cases there are six instances, or 15 per cent. , Case xxiv.—A boy, set. 14, having had symptoms of cal- I cuius from infancj^, was lithotomized, although his urine was ! purulent; some blood was lost at the operation, and on the I second day some pain and tenderness of the abdomen, with general symptoms of peritonitis, made their appearance. He improved by treatment for a few days, but his powers began to fail, and upon the tenth day he died. After death, the peritoneum was found granular and greasy.](https://iiif.wellcomecollection.org/image/b22329286_0011.jp2/full/800%2C/0/default.jpg)
