Annals of surgery . a two by four and one-half inches was bare of peri-toneum at the site of wound, but there has been no trouble fromthis source. Case III.—Male, aged 73. Referred by Dr. history negative. Had always been well, except anattack of orchitis four months previous. For six months hesuffered with pain and soreness in the abdomen, but noticed notumor. Two weeks before my visit the abdominal wall openedspontaneously two inches below the umbilicus and dischargedurine. There had never been any pus. If lying down quietlythe urine did not escape, but so soon as he assumed a
Annals of surgery . a two by four and one-half inches was bare of peri-toneum at the site of wound, but there has been no trouble fromthis source. Case III.—Male, aged 73. Referred by Dr. history negative. Had always been well, except anattack of orchitis four months previous. For six months hesuffered with pain and soreness in the abdomen, but noticed notumor. Two weeks before my visit the abdominal wall openedspontaneously two inches below the umbilicus and dischargedurine. There had never been any pus. If lying down quietlythe urine did not escape, but so soon as he assumed an uprightposition there was a constant discharge. The old gentleman appeared perfectly well aside from thisurinary sinus, which was about the circumference of a pencil CYSTS OF THE URACHUS. r -J r- 000 and entered immediately into a large sac, the lower limit ofwhich I could not reach with an eight-inch probe. Under ether anaesthesia I entered the peritoneal cavity DOTTED LINEREPRESENTSX/RACHUS*^Cr$t WALLS BLADDER. Fig. 2.—Cj-st of Urachus. 536 WALTER RUPERT WEISER. above the sinus and found the sac anterior to the parietal peri-toneum. The sac extended to within one inch of the umbiHcus,above which the urachus was not patulous (Fig. III.), and down- RUPTURL
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885