. Tumours, innocent and malignant; their clinical characters and appropriate treatment. emporary disappearance, of the swelling. Exceptionally, both kidneys when hydronephrotic mayintermit alternately. Of this rare form I have had one caseunder my care; as the diagnosis was somewhat obscure,cceliotomy was performed. In the course of the operationthe phenomenon of intermission was actually observed. Thehydronephrosis diminished in size, and the bladder slowlyfilled. Intermitting hydronephrosis is also associated withthe remarkable anomaly known as inadequate ureter. It is a startling fact that
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. emporary disappearance, of the swelling. Exceptionally, both kidneys when hydronephrotic mayintermit alternately. Of this rare form I have had one caseunder my care; as the diagnosis was somewhat obscure,cceliotomy was performed. In the course of the operationthe phenomenon of intermission was actually observed. Thehydronephrosis diminished in size, and the bladder slowlyfilled. Intermitting hydronephrosis is also associated withthe remarkable anomaly known as inadequate ureter. It is a startling fact that many of the largest specimensof hydronephrosis are those in which no obstruction could 582 CYSTS be demonstrated, and the histories of the patients fail tothrow any hght on the cause (Fig. 307). The most remark-able example of this is the case of Mary Nix, who diedat Hampton Poyle, near Oxford, at the age of 23. Shehad a hydronephrosis containing fluid to the amount ofthirty gallons, wine measure. The dissection of the body wasconducted by Samuel Glass with some learned gentlemen of. Fig. 307.—Unilateral (intermitting) hydronephrosis (without obvious cause). Theureter, at the point where it left the renal sinus, had a diameter of 8 cm. Nothing was found to account for the the university,condition. Now that we know many cases of dilated ureter andsacculated kidney have an antenatal cause, it is very prob-able that many large hydronephroses of inexplicableorigin in the adult began while the individual tenantedthe uterus. Inadequate ureter,—It is well recognized that the junc-tion of the renal pelvis with the ureter proper is indicated by B YDEONEPHBOSIS 583 a marked narrowing of the lumen of the duct, which maybe conveniently called the ureteral strait. It occasionallyhappens that the ureter fromthis point downwards is verymarkedly narrow, and is some-times even less than one-fourthits proper dimensions (Fig. 309). Abnormally narrow uretersof this kind may be convenient-ly te
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
