A case of extroversion of the bladder / by William Anderson.
- William Edwin Anderson
- Date:
- [1892]
Licence: Public Domain Mark
Credit: A case of extroversion of the bladder / by William Anderson. 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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![~ /fog-CT) Reprinted from Vol. XXV of the ‘ Clinical Society's Transactions.’] A case of Extroversion of the- Bladder. By William Anderson, F.R.C.S. Read November 27, 1891. THE patient, W. T., a boy, aged 10, was admitted into St. Tliomas s Hospital witb congenital extroversion of bladder in June, 1890. The appearances were of the ordinary type. The bladder showed itself as a hemispherical tumour, about the size of a large orange, filling the space between the imperfectly deve- loped penis and the point normally occupied by the umbi- licus: the mucous membrane of the upper third of the protrusion had for the most part assumed the aspect of a thin cicatricial tissue, owing to a modification in the cha- racter of its epithelium, but below this it was red like a granulating sore, and presented several patches of excoria- tion and two small hernial protrusions. The ureters opened about three fourths of an inch above the rudimentary penis and with the aid of a probe the canals could be traced' running first backwards, then upwards by the side of the rectum. The pubic bones, terminating anteriorly in pointed extremities, were separated by a distance of about three inches; while the width between the anterior superior spines reached ten inches. The scrotum was empty and the testi- cles could be felt in the groins, the left somewhat larger than the right. There was no hernia, and the abdominal walls were not defective, except at the seat of the extro- version. v P.a^ent was a good-looking lad but small for his age shghtly pigeon-breasted, and of somewhat retarded intellec- tual development His gait had the usual waddling character dependent upon the wide unfolding of the ossa innominata, and he suffered much from the irritable condition of the protrusion and from the constant leakage of urine, which no receptacle could be devised to collect. The details of his family history were difficult to ascertain, but it is stated that his father and mother both died of phthisis, and that his onlv brother was lame, apparently from some joint disease. f he case having been placed in my hands through the kindness of my colleague Sir William MacCormac, I deter- mined to carry out a plan of operation suggested by my](https://iiif.wellcomecollection.org/image/b22453568_0005.jp2/full/800%2C/0/default.jpg)
