There was no hemorrhage from the external wound, nor pain in the
spermatic cord or testicle. Under expectant treatment the man
recovered. Castellanos mentions a case of recovery from punctured
wound of the kidney by a knife that penetrated the tubular and
cortical substance, and entered the pelvis of the organ. The case
was peculiar in the absence of two symptoms, viz., the escape of
urine from the wound, and retraction of the corresponding
testicle. Dusenbury reports the case of a corporal in the army
who was wounded on April 6, 1865, the bullet entering both the
liver and kidney. Though there was injury to both these important
organs, there was no impairment of the patient's health, and he
recovered.
Bryant reports four cases of wound of the kidney, with recovery.
All of these cases were probably extraperitoneal lacerations or
ruptures. Cock found a curious anomaly in a necropsy on the body
of a boy of eighteen, who had died after a fall from some height.
There was a compound, transverse rupture of the left kidney,
which was twice as large as usual, the ureter also being of
abnormal size. Further search showed that the right kidney was
rudimentary, and had no vein or artery.
Ward mentions a case of ruptured kidney, caused by a fall of
seven feet, the man recovering after appropriate treatment.
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