Movable kidney, in the genesis of bile duct disease / by A. Ernest Gallant.

  • Gallant, A. Ernest (Albert Ernest), 1861-
Date:
1907
Catalogue details

Licence: In copyright

Credit: Movable kidney, in the genesis of bile duct disease / by A. Ernest Gallant. 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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    Reprinted fr ial for Sept. 1/,, 1907. MOVABLE KiDNj£X^'TKE GENESIS OF BILE Obstruction, from any cause, to the free outflow of the product of any one of the secreting or ex- creting organs of the animal body will result in retention and stasis, favoring bacterial development, followed by absorption of toxines, precipitation of solids, overdistention, ulceration, perforation, peri- tonitis, surgical puncture, and occasionally death. The urologist is most frequently confronted by this sort of thing as the result of ureteral kinks and inflammatory bands, due to kidney dislocation, involving tbe urinary tract in ways with which we are all thoroughly familiar. Can the same be said of the relation between the urinary and biliary tracts and the part played by the kidney in the inception of jaundice, gallstones, etc.? The liver has oft- times been accused of dislodging the kidney, what may be said of the kidney in distending the liver? Case I.—My attention was first directed to the coin- cidence of movable kidney and the gallbladder by a patient referred by Dr. William Neer, of Paterson, N. J., Mrs. E. T., aged thirty-three, multipara. Patient stated on January 24, 1893, that two weeks ago she had suffered from pain in the back below the right shoulder blade, and in the region of the gallbladder. Examination showed the right kidney palpable three centimetres below the chondral border, enlarged and tender, but replaceable. The gallbladder was not pal- pable; nor was any jaundice present. She was fitted with a corset, and had no further attacks up to Novem- ber 7, 1898, when she was found to be pregnant, and was “ lost to sight,” though, as the first to direct my * Read at the annual meeting of the American Urological Association, .Tune 4, 1907. Atlantic City, N. J. By A. Ernest Gallant, M. D., New York. Copyright, 1907, by A. R. Elliott Publishing Co.