. Annals of surgery . -Both pelves on one side SURGERV OF THE ECTOPIC KIDNEY whole of her stomach was dropping out of her, as she described it. There was alarge mass occupying her right side running up over her iliac crest into thelumbar region, reaching to the mid-line and down into the pelvis. This mass wasnot particularly tender, but very firm and quite fixed. Cystoscopic examinationshowed a normal bladder except there was a bulging on the right lateral wall asthough something from without was pressing inward. Ureteral catheters passedeasily the usual distance and normal urine was obtained
. Annals of surgery . -Both pelves on one side SURGERV OF THE ECTOPIC KIDNEY whole of her stomach was dropping out of her, as she described it. There was alarge mass occupying her right side running up over her iliac crest into thelumbar region, reaching to the mid-line and down into the pelvis. This mass wasnot particularly tender, but very firm and quite fixed. Cystoscopic examinationshowed a normal bladder except there was a bulging on the right lateral wall asthough something from without was pressing inward. Ureteral catheters passedeasily the usual distance and normal urine was obtained from both test right and left appeared in 2 minutes. Right catheterrecovered 29 per cent, in 30 minutes, left 22 per cent. X-ray with catheters inplace showed the one on the right side going up toward the normal kidney. Fig. 3.—Case V. tnilatcral congenital fused kidney. U. ureter. B. bladder. A, artery. region, but stopping about in the mid-lumbar region. Left catheter up toabout the second sacral vertebra, then passed over to the right side and stoppedabout the promontory of the sacrum. There was no kidney shadow on the leftside. Pyclogram showed two bizarre pelves on the right. (Fig. 2.) The rightone above and the left one Ix-low and internal. No abnormal ureteral diagnosis of ectopic unilateral fused kidney was made. The patient insisted that something Ijc done to relieve her of her suffering,and, while we did not feel that there was much hope, an exploratory operation wasdone on January 26. 1914. A large right-sided incision, extending from above thecrest downward toward the mid-line, was made, and an enormous mass was exposed,consisting of two definite parts which were completely fused, the connecting bridgebeing composed of renal tissue. The outer part was an elongated m
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
