Painless calculous pyonephrosis without fever : nephrectomy, recovery / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1901]
Catalogue details

Licence: In copyright

Credit: Painless calculous pyonephrosis without fever : nephrectomy, recovery / by Alban Doran. 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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    /3 Fever: Nephrectomy: Recovery. By ALBAN DORAN, F.R.C.S., Surgeon to the Samaritan Free Hospital; Past President of the Obstetrical Society oj London. Painless calculous pyonephrosis is by no means unknown. Still I find that we are too often induced, when making a diagnosis in a case of painless enlarged kidney, to exclude calculous pyonephrosis on the ground that that disease must always be more or less painful. For that reason I bring forward this case, also remark- able for the absence of any distinct history of fever, although there was much suppuration. I should like to hear the experience of others concerning absence of pain and fever in kidney disease of this type. A woman, aged 38, was admitted into the Samaritan Hospital early this autumn under the care of Dr. Amand Routh, who diagnosed an enlargement of the right kidney of uncertain nature, and transferred her to me for sur- gical treatment. She had been married for fifteen years, and had borne eight children ; the youngest was 5 years old. The patient informed me that she had been under treatment some months ago for disease of the womb, but had noticed a swelling in the right side for a year. Whenever she put on her corset she felt much nausea, and the swelling in the right side ached a little. After swallowing food epigastric pain and nausea followed, but when undressed she was always comfortable. She had never passed blood in the urine, and never suffered from symptoms of renal colic; nor could she remember any feverishness or rigors. She had been subject for three