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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![or ced i a fas »?• ide ' sth aio ale. res] derj d\ iiij id; tlfi] ifly tli| tli^l The perineal wound had almost healed, admitting only a ; probe. Case xxxiv.—A man, set. 54, with an impaired constitu- ttion, and irritable bladder after lithotomy, died upon the fifth ,.day, without any marked symptom. The necroscopical examination revealed lungs filled with llobules of inflamed tissue, easily lacerable, and becoming [purulent. The right kidney was large, and subject of acute ssuppurative inflammation, involving all its structures, and its [pelvis acutely inflamed; the right ureter also was inflamed and (dilated. The left kidney was quite healthy, except two small 'White specks upon its surface; as also was the left ureter. The Ibladder was firmly contracted; the raucous membrane covered 'with a small quantity of purulent mucus, but otherwise healthy. 'The whole extent of the wound was in a sloughing con- tdition, and the cellular tissue round the bladder in a similar (condition. No suppuration had occurred. The incision was llimited, through a prostate somewhat enlarged and indurated. iPeritoneum and other viscera were healthy. Case *xxxv.—A man, set. 57, after lithotomy was con- hvalescing, when he was seized with rigors and pysemic symp- jttoras upon the seventeenth day, and died upon the twentieth. Case xxxvi.—A man, set. 58, with severe symptoms, old |1 bronchitis, and great constitutional depression, after eight I'years^ suffering, was operated upon, and a large calculus, 'weighing two ounces, removed. He gradully sank upon the Ittliirteenth day. After death, pleurisy and pysemic lobular jipneuraonia were detected. Kidneys wasted and contracted, 'with much deposit of pus in their cortical structure. Pelves hand ureters were also slightly inflamed. Bladder was thick- jccned and contracted; its mucous membrane sloughing, and (covered with phosphates; the cellular tissue round was infil- jttrated with pus. The wound was sloughing. Case xxxvii.—A man, set. 44, after lithotomy, by which an roxalate of lime calculus was removed, progressed favorably till ’the twelfth day, when diarrhoea and symptoms of pyseraia](https://iiif.wellcomecollection.org/image/b22329286_0017.jp2/full/800%2C/0/default.jpg)
