Selected monographs.

Date:: 1888

Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

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(lo) Moveable Kidney on the right side. Adhesions to the liver ; parametritis of the left side (Lancereaux). In a woman aged forty-one who was a drunkard, had suf- fered from frequent vomiting and cough, and was very thin, a moveable kidney could be very easily made out on the right side of the abdomen. After the patient^s death from erysipelas of the faoe the right kidney was found not against the quadratus lumborum muscle but tightly pressed against the right side of the ver- tebral column. It was much smaller than the left kidney and slightly lobed. Its right border was adherent to the liver which was rather large. The posterior wall of the uterus was adherent to Douglas's pouch by old false membranes, which were confined to the right half of the posterior surface of the right broad liga- ment. The inflammation had extended along the ureter as far as its upper extremity. The right ovary which was in- volved in this focus of inflammation, was two or three times as large as the left, the tube was sinuous, its end was closed and adherent to the peritoneum opposite the posterior fundus vaginge, and enlarged to the size of a nut. (ii, 12) Moveable Kidneys on the right side (Lancereaux). In a consumptive woman, aged sixty years, the right kidney was found astride (a cheval) of the second and third lumbar vertebrae, covered with peritoneum. The vessels and ureter appeared normal, somewhat elongated; the liver was congested and seemed to have pressed the kidney downwards, though it could be presumed that the kidney had changed its position previously. The right ovary was unchanged, but the uterus was studded with fibrous tumours. A woman who died with stenosis of the mitral valve showed a condition precisely similar. (13) Moveable Kidney on the right side (Hosier, 1866). A woman, aged thirty-six, died of double pneumonia after amputation of the thigh. Grohe, who made the autopsy, found the following conditions :