Volume 1

Surgical diseases of the kidney and ureter including injuries, malformations and misplacements.

  • Morris, Henry, 1844-
Date:
[pref. 1901]
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: Surgical diseases of the kidney and ureter including injuries, malformations and misplacements. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    701/718 (page 677)
    COMPLICATIONS OF HYDATID CYSTS. Pathological Society, the patient had a nodulated tumour A\hich tilled the right lumbar. region and caused pain and tenderness; there were, too, the ordinary symptoms of Bright's disease. Within a fortnight after it had suppurated and discharged, pus and cysts by the urethra, the symptoms of Bi-ight's disease disappeared. Suppuration may occur as the result of violence, or of punctui'e whether for the purpose of diagnosis or of treatment; or indepen- dently of either. If it occurs, then rigors, fevei-, and increased pam and tension about the tumour set in. The comjMcations of hydatid cysts of the kidney are (1) their excessive volume, (2) the consequences of iaiptu]-e, (3) the dangei's of supiDuration. (1) The size attamed by a hydatid cyst of the kidney may be such that it nearly fills the whole abdomen. In such cases, the digestive organs and the diaphragm and the I'espu'atory and circulatory organs are intei- fered with, and death may be brought about hx syncope oi- marasmus. (2) Before attaining such a size, howevei-, it is moi'e frequent for the cyst Avail to laiptui-e. Injury may also cause I'upture of the cyst. It may open into the general peritoneal or pleural cavity, or into a holloAv or tubular organ, e.g. the stomach, boAvel, bronchus, or renal pelvis or uretei. Spontaneous oi- traumatic CA-acuation may be folloAved b}- cure, but it is A'ery likely indeed not to be. Beraud and Boeckel qiiote twenty-nine cases in A\hich the opening was into the i-enal pelvis: six Avei-e completel}^ cui-ed, sLx remained stationary, in seven the results Avere unknoAA'n, and ten died. The causes of death Avere : seven from marasmus, one from cancer, one from phthisis, and one from secondary perforation of the lung. Of four cases Avhich burst into the mtestine one died. Eupture uato the lung or into the peritoneal cavity is very fatal. The danger of rupture is increased by the greater tendency there is for the cyst to suppurate after rupture has taken place than before, and thus the patient is exposed to death from septica?mia or exhaustion. Eupture into the peritoneal cavity gives rise to peritonitis if the cyst is suppura- tmg; if there is no suppuration it may cause the development of multiple neAV cysts, or urticaria, or death. (3) Suppuration does not frequently attack a hydatid cyst so long as it is intact and is not in communication Avith the organs around it or Avith the exterior of the body. But if, from rupture or puncture, infective micro-organisms gain entrance, the cyst soon becomes