Carcinoma of the kidney, nephrectomy ; A case of gastrostomy for malignant disease of the oesophagus / by Charles Williams.

  • Williams, Charles, 1827-1907.
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: Carcinoma of the kidney, nephrectomy ; A case of gastrostomy for malignant disease of the oesophagus / by Charles Williams. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    of the co-existence of calculus and malignant growth of the kidney must not be overlooked, for “the liability to error is increased when gravel or small calculi are, as is not uncommon, present in the pelvis of the cancerous organ.”2 C. T , aged fifty-eight, sent to me by Mr. Perry, of Reepham, was admitted into the Norfolk and Norwich Hospital on the 1st of April, 1891, complaining of ex- cruciating pain in the left lumbar region. She was the wife of a farm bailiff and was accustomed to hard work. Fifteen years ago she had a severe attack of sciatica of the left side; it lasted for several weeks, and had the effect of reducing her, from being a fine woman, to a mere skeleton. From this she never thoroughly recovered. Some nine years later symptoms of kidney trouble showed themselves, occasional pain being the most marked ; still she was well able to attend to a large dairy, and to maintain a fair state of health until twelve months ago, when she noticed that her urine was thick and sometimes stained with blood. A little later pain came on in the left loin, and localised itself there and became very intense. Later still she was obliged to keep her bed and to take opium somewhat freely. Blood was now appearing in the urine in large and frequent quantity. The pain usually came on during micturition and lasted for some time afterwards. There was no definite history of renal colic. On admission she was greatly emaciated, very pale, and looked proportionately ill, her eyes being shrunken and her voice weak. In the left lumbar region there