Manual of pathological anatomy . right, in the proportion of 7 to 2. It may be absent altogether aswell as the ureter and corresponding renal vessels, but sometimes asmall mass of fibrous tissue with a renal vein and artery is seensurrounding a comparatively normal pelvis and ureter leading intothe bladder. Anomalies of Position,—The kidney is sometimes found muchlower than its usual situation, either at the level of the promon-tory of the sacrum or quite in the pelvis, sometimes in the middleline. In such cases it is usually abnormal in form. This anomalyis doubtless congenital. The moveable


Manual of pathological anatomy . right, in the proportion of 7 to 2. It may be absent altogether aswell as the ureter and corresponding renal vessels, but sometimes asmall mass of fibrous tissue with a renal vein and artery is seensurrounding a comparatively normal pelvis and ureter leading intothe bladder. Anomalies of Position,—The kidney is sometimes found muchlower than its usual situation, either at the level of the promon-tory of the sacrum or quite in the pelvis, sometimes in the middleline. In such cases it is usually abnormal in form. This anomalyis doubtless congenital. The moveable kidney lacks its usualattachment to the abdominal wall, or is suspended by a sort ofmesentery formed by its peritoneal covering. The vessels andureter are usually normal. It occurs more frequently in womenthan in men, and more often on the right side than the left. Hypertrophy and Atrophy.—Hypertrophy of one kidney is alwaysobserved when the other is destroyed or its function interfered HYPEH^MIA OF THE KIDNEY. 669 Fig. with. No simultaneous hypertrophy of both kidneys, withoutdisease, has been observed. Atrophy is the ultimate consequence of several diseases, whichwill be spoken of hereafter, but also occurs in the course of seniledecay, more constantly than atrophy of almost any other organexcept the spleen. This condition appears to be always connectedwith thickening and obstruction of the arteries. This senile atrophyof the kidney is extremely difficult to distinguish from granularatrophy dependent on disease. —This condition of the kidney is of frequent occur-rence, but is almost always theresult of some prior generalaffection, as of obstructive dis-ease of the heart, or the arrestof the cutaneous shall describe an extremecase, to convey an idea of thestate of congestion that mayoften be inferred on good groundto exist, and shall hereafterrefer to it as the commencementof other affections. The kidneyis enlarged, its weight oftendoub


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectanatomy, booksubjectp