Movable kidney, in the genesis of bile duct disease / by A. Ernest Gallant.

  • Gallant, A. Ernest (Albert Ernest), 1861-
Date:
1907
Catalogue details

Licence: In copyright

Credit: Movable kidney, in the genesis of bile duct disease / by A. Ernest Gallant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    6/12 (page 6)
    of recognizing this condition, before stasis and stone formation has begun must be appreciated. Case II.—Roosevelt Out Patient Department. Mrs. M. McK., thirty years of age, married eleven years, tertiipara; for three to four months has had pain of cramp like nature in the lower scapular re- gion and right side. Abdomen was distended; she belched gas, suffered from indigestion, and at times from epigastric pain. Examination on March 15, 1900, showed the right kidney palpable for two inches, with much tenderness in hypochondrium. Diagnosis: Gall- stone colic vs. movable kidney. Treatment: For a time she wore an abdominal binder and later was fitted with a special corset, which gave relief from all symptoms. Case III.—Mrs. S. S., twenty-seven years of age, married four years, no children, weighing 115 pounds; referred by Dr. Roy Inglis, Jersey City, N. J. Last May her liver had been enlarged, with marked jaun- dice, and said to be due to gallstones. At this time (January 12, 1900) she was suffering with pain in the lower scapular and sacral region, and along the right loin; much backache; patient was very irritable and nervous; also annoyed by regurgitation of gas. Examination showed the liver somewhat enlarged; the right kidney palpable ten ctm. below the costal bor- der, not wholly replaceable. Diagnosis: Jaundice due to kidney prolapse. Treatment: Corset. Case IV.—Mrs. V., multipara, seen in consultation with Dr. T. F. Kelly, November 18, 1902; had been suffering from pain at the end of the scapula, and suffered from nausea and vomiting, for seyeral days. Examination showed the right kidney, 3 by 6 inches, five inches below the chondral border, the hilum di- rected almost anteriorly, but could not be wholly re- placed on account of its large size. The abdominal wall was moderately fat, very lax, with epigastric flat- tening. The lower border of the stomach was one and one half inches below the umbilicus. A heavy bandage was adjusted, the foot of the bed elevated, and in a few days the jaundice disappeared. She has worn a special corset ever since, without any more attacks. Case V.—Mrs. E. W., twenty-two years of age, one child, five months -old. Patient was seen in consultation