Watson has, however, reported two cases of stricture, in both of
which a ureter was nearly or quite obliterated by a dense mass of
connective tissue. In one case there was a history of the passage
of a renal calculus years previously. In both instances the
condition was associated with pyonephrosis. Watson has collected
the reports of four other cases from medical literature.
A remarkable procedure recently developed by gynecologists,
particularly by Kelly of Baltimore, is catheterization and
sounding of the ureters. McClellan records a case of penetration
of the ureter by the careless use of a catheter.
Injuries of the Bladder.--Rupture of the bladder may result from
violence without any external wound (such as a fall or kick)
applied to the abdomen. Jones reports a fatal case of rupture of
the bladder by a horse falling on its rider. In this case there
was but little extravasation of urine, as the vesical aperture
was closed by omentum and bowel. Assmuth reports two cases of
rupture of the bladder from muscular action. Morris cites the
history of a case in which the bladder was twice ruptured: the
first time by an injury, and the second time by the giving way of
the cicatrix. The patient was a man of thirty-six who received a
blow in the abdomen during a fight in a public house on June 6,
1879.
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