Another
specimen was a right kidney removed at St. Bartholomew's
Hospital. It was much dilated, and only a small amount of the
kidney-substance remained. A calculus blocked the ureter at its
commencement. The patient was a woman of thirty-one, and made a
good recovery. From the Middlesex Hospital was a kidney
containing a uric acid calculus which was successfully removed
from a man of thirty-five. From the Cancer Hospital at Brompton
there were two kidneys which had been removed from a man and a
woman respectively, both of whom made a good recovery. From the
King's College Hospital there was a kidney with its pelvis
enlarged and occupied by a large calculus, and containing little
secreting substance, which was removed from a man of forty-nine,
who recovered. These are only a few of the examples of this most
interesting collection. Large calculi of the kidney are mentioned
in Chapter XV.
Rupture of the ureter is a very rare injury. Poland has collected
the histories of four cases, one of which ended in recovery after
the evacuation by puncture, at intervals, of about two gallons of
fluid resembling urine. The other cases terminated in death
during the first, fourth, and tenth weeks respectively.
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