. Selected monographs. ureter is inserted intothe kidney opposite the upper part of the pelvis, in the erectposture the urine cannot overflow into (? out of) the pelvis ofthe kidney until the pelvis o£ the kidney is full to that point. The pelvis of the kidney is enclosed by a yielding andexpansible wall, which gradually dilates under the pressureof the urine collecting within it, until the sac reaches such asize as to be capable, on its part, Avhen full, of completelycompressing the urctci, which lies immediately in contactwith it. But only in the erect position ! For as soon asthe owner of t
. Selected monographs. ureter is inserted intothe kidney opposite the upper part of the pelvis, in the erectposture the urine cannot overflow into (? out of) the pelvis ofthe kidney until the pelvis o£ the kidney is full to that point. The pelvis of the kidney is enclosed by a yielding andexpansible wall, which gradually dilates under the pressureof the urine collecting within it, until the sac reaches such asize as to be capable, on its part, Avhen full, of completelycompressing the urctci, which lies immediately in contactwith it. But only in the erect position ! For as soon asthe owner of this kidney lies down, as for instance duringsleep, the urine Hows away continuously, and without anyobstacle, out of the sac into the bladder. In the case ofkinks, on the other hand, the change is produced by thesegment of the ureter situated above the kink, rising some-what as the distension becomes greater, in such a way thatthe point of bending comes rather to resemble the point MOVEABLE KIDNEY IN 8. 305. 1. Right Ifidney. 2. Iligbt renal artery kinked. 3. Right renal vein. 4. Right ureter hent, and inserted into the highest point of the pelvis of the kidney. 5. Ahdominal aorta. 6. Vena cava inferior. 7. Lift kidney in its normal situation. wliere a funnel passes into its neck. But as soon as tliegreater part of tlie urine has escaped, tlie ureter becomeskinked again at the old spot. But even in the case ofsimple narrowing, however little the obstacle itself changes,theie is by no means always the same impediment to thesecretion of urine. Suppose a case in which a considerableobstacle arises suddenly during a period of plentiful secretion,a moment will be reached (not, indeed, so rapidly as incomplete obstruction, but in a relatively short time) in whichthe disorder of relation between secretion and escape will 20 306 MOVEABLE KIDNEY IN WOMEN. result in so great a repletion and distension of the pelvisof tlie kidney and proximal segment of the ureter^ thatabsolut
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Keywords: ., bookcentury1800, bookdecade1880, booksubjecttyphoid, bookyear1884
