Congenital pelvic cyst, probably of post-anal origin, leading to retention of urine / by D'Arcy Power.

  • Power, D'Arcy, 1855-1941.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Congenital pelvic cyst, probably of post-anal origin, leading to retention of urine / by D'Arcy Power. 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.

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    Reprinted from the ' Transactions of the Pathological Society of London,' 1894. Congenital pelvic cyst, probably of post- anal origin, leading to retention of urine. By D'Arcy Power, M.B. Agirl, aged 2 months, was last week admitted under my care into the Victoria Hospital for Children, Chelsea, to be treated for retention of urine. She had appeared to be healthy for the first six weeks of her life, but on April 26th it was noticed that she was restless and that her abdomen was prominent. Two days later the child passed her water spontaneously for the last time. Her urine was drawn off daily from May 1st to May 5th, when she became an in-patient at the hospital. She then had absolute dulness over the abdomen from the pubes to the umbilicus, and no urine had been passed for twenty-four hours. Her water was drawn off, and a bimanual examination showed that a tense and elastic swelling extended on the right side from the pelvis into the abdomen as high as the umbilicus. The swelling was fixed, it was pyriform in shape, the upper broad end being rounded and sharply defined. The urine was foetid and was drawn off daily, but there was no in- terference with the action of the bowels, which were regularly opened. I performed a median laparotomy on May 10th, and found that the tumour was too deeply seated and too firmly fixed to allow of its being removed. The child rallied well from the operation, but died of diarrhoea two days later. A post-mortem examination revealed the following condition of the parts:—There was no trace of any peritonitis, and the opera- tion wound had nearly healed. The bladder was much thickened, the ureters were dilated, and the kidneys were in a condition of hydronephrosis. The uterus, ovaries, and Fallopian tubes were normal. The rectum for an inch above the anus was normal. Immediately above this point a large oval swelling projected into its lumen, but without causing any gross lesions. This swelling was found to be a portion of a tumour springing from the right side of the rectum, and apparently in intimate connection with it. The tumour in the fresh state was a pear-shaped cyst with thin DP 3