. Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women. nd Moderate Hydronephrosis on Right SideDue to Obstruction of Lower Ends of Ureter. Note the cork-screw twisting ofureters typical of this condition. (Autopsy observation, Mr. J. W., Feb. 19, 1902.) Such kidneys are almost without exception accompanied by distended interesting case of complete stricture of the lower end of the ureterwith a resulting hydronephrosis in a male child a _year and a half old is de-scribed by Dr. Griinberg (Munschen med. , 1809, xlvi, 748). 524 HYDRONE
. Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women. nd Moderate Hydronephrosis on Right SideDue to Obstruction of Lower Ends of Ureter. Note the cork-screw twisting ofureters typical of this condition. (Autopsy observation, Mr. J. W., Feb. 19, 1902.) Such kidneys are almost without exception accompanied by distended interesting case of complete stricture of the lower end of the ureterwith a resulting hydronephrosis in a male child a _year and a half old is de-scribed by Dr. Griinberg (Munschen med. , 1809, xlvi, 748). 524 HYDRONEPHROSIS. Lebec (Presse med., 1897, ii, 273) reports a similar case in a man of34, where there had been symptoms for many years, and in which the entireureter was obliterated. Abnormal curves of the ureter, met with particularly in ectopickidneys, as well as valves and strictures in its course, have alsobeen observed in many cases and shown to be the cause of and curves are resultant effects of ureteral obstruction more often thanthey are causative influences (Fig. 252).. Fig. 253.—Large Hydronephrotic Kidney Due to Descensus and Kinking of theUreter by Accessory Renal Vessels. These vessels passed in front of ureter nearits junction to pelvis, as shown. The territory of kidney supplied by these accessoryvessels is indicated in drawing to left. Tying of such a vessel would result in infarctionof this part of the kidney, as the circulation is a terminal one. The capacity of removedspecimen, 300 c. c. (Case of Dr. Omar Pancoast. E. G., Oct. 6, 1909.) ETIOLOGY. Interest of recent date lias l)een mostly fVtcussed u\)o\i the etiological impor-tance of the so-called snpciiiiimcrary or almoiiiial Mood vessels. That suchvessels can lead to comitrcssion of llie ureter has heen long oh<erved. Legueu(Ami. (Ics iiiaJ. (icsorg. (J c n t ( 0 - uriii.,1904, xxii, 1,:](U)emphasizes their im-portance and statesthat cutting the ves-sels would often curethe condition. Ek
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