Injuries of and operations upon the kidney / by Edward O. Otis.
- Otis, Edward Osgood, 1848-
- Date:
- 1887
Licence: Public Domain Mark
Credit: Injuries of and operations upon the kidney / by Edward O. Otis. 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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![3 ney, atrophy of the injured organ followed, and the remaining kidney performed the functions of both. In other canes cicatrization without subsequent symptom* foliow<d: and in still others hydronephrosis aud ab- scess revolted with necrosis of a great part of the kid- ney substance. In these experiment* the most prom- inent symptom of rupture was ha-maturia. Maas* low also collected seventy-one cases of kidney injury, of which thirty-seven recovered and thirty-four suc- cumbed, but of these thirty-four he say* in only six- teen is the injury itself to lie looked upon as sufficient cause of death. Bloch * records forty cases with twenty-three deaths; and Simon* ten, with seven deaths. 1 have collected twenty-seven case# {IH7‘.» to 1K#7) with eleven recoveries and sixteen deaths. Adding these twenty-seven cases to Maas’ sev« ntv-one [Maas probably included the cases of Bloch ate! Simon iti his number,] we have ninety-eight cases w ith fifty deaths or a mortality of 51.02 per cent, (for subcuta- neous injuries.) A fatal result in an injury of the kidney may be cause*I by haemorrhage, either primary or secondary, peri ton kl*, suppuration, abscess, and concomitant lesions of other organs. Maas in his eases found primary haemorrhage as a cause of death relatively seldom. The treatment of the more severe cases — laceration and rupture — demand particularly our at- tention, for the question of surgical interference may come up. The case* of little gravity get well of them- selves, with rest and expectant treatment. Knowing, then, that the crush, blow, or fall over the kidney was a severe one ; having profuse Im-maturia, inieuse pain in the loins, symptoms of collapse and the general signs of severe hemorrhage ; we cun feel » t.<*r. efl, * HI.Kh, 1*« U e<>ntn». *td r»in. TW»*. P#H», 1*73.](https://iiif.wellcomecollection.org/image/b22310666_0007.jp2/full/800%2C/0/default.jpg)
