A practical treatise on urinary and renal diseases - including urinary deposits (1879) (14778917544)
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Lobulated and mispositioned kidney, located at aortic bifurcation
Identifier: practicaltreatis1879robe (find matches)
Title: A practical treatise on urinary and renal diseases : including urinary deposits
Year: 1879 (1870s)
Authors: Roberts, William, Sir, 1830-1899
Subjects: Urine Urinary organs Kidneys Kidney Diseases Urinary Calculi Urinalysis
Publisher: Philadelphia : Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
Text Appearing Before Image:
Fig. 78. Left kidney, lying on the left sacroiliac synchondrosis.—(From a drawingin the possession of Dr. Renaud.) more from their natural distribution. The correspondingsupra-renal capsule does not (in congenital cases) follow thekidney into its abnormal situation, but invariably occupies itsusual place in the lumbar region.. By far the most common, and also the most practically 6o4 FIXED MALPOSITION OF THE KIDNEYS. important, of the fixed misplacements of the kidney, arethose in which the organ lies within, or upon the brim of,the pelvis. In these cases the misplaced organ is liableto be felt during life, either through the abdominal wall,or the vagina, and to be mistaken for some other object; ifit lie within the pelvis, it may embarrass and complicateparturition. In twenty-one cases of congenital malposition of the kidney,
Text Appearing After Image:
Fig. 79. Mr. Cantons case of misplaced and tabulated kidney.—(From the Trans-actions of the Pathological Society, vol. xiii. p. 147.) which I have been able to collect and compare, the abnormalitywas, in every instance, confined to one kidney ; and the left FIXED MALPOSITION OF THE KIDNEYS. 605 kidney was much more commonly affected than the right (left15, right 6). The most frequent of these deviations was to find the kidneylying obliquely on the sacro-iliac synchondrosis, as representedin Fig. 78. In some of the cases, the organ was fixed besidethe uterus, or transversely between the rectum and bladder, oracross the prominence of the sacrum. Mr. Canton has described and figured a curious specimen,taken from a man who died (of bronchitis) at the age oftwenty-seven. There were no renal symptoms during life.The right kidney was in all respects normal; but the left wassituated below, and between, the bifurcation of the aorta, asshown in Fig. 79. Instead of presenting the ordinary kidn