Case of lesion of the kidney / by John H. Hewer.

  • Hewer, John Henry.
Date:
[1851]
Catalogue details

Licence: Public Domain Mark

Credit: Case of lesion of the kidney / by John H. Hewer. 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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    CASE OF LESION OF THE KIDNEY: WITH REMARKS. By JOHN H. HEWER, Esq. Read on Thursday, March 13, 1851. The kidneys are so well protected that they rarely sutler from injury. Their immunity in this particular is, however, quite made up by the diseases to which they are liable, the nature of which is generally of so serious a description that, on the whole, they receive their share of the maladies to which the body is obnoxious. Lesion of the kidney, being of infre- quent occurrence, is sparingly treated of by surgical writers, and our medical periodicals are far from prolific in their contributions on this subject. I trust, therefore, that the details of the follow- ing interesting case may be acceptable, by leading us to the consideration of a subject which at least pleads for itself its practical importance. Henry Barnes, a middle-aged man, was admitted into St. Bartholomew’s Hospital on Monday, the 23d of De- cember. On Sunday evening he was crossing London Bridge, and was knocked down by a can, the wheel of which passed up his right thigh, and over the right side of the abdomen. He has experienced great pain, which he refers to the region of the right kidney, and he has noticed that a good deal of blood has passed with his mine since the time of the accident. His pulse is 100, and sharp; countenance anxious.—Ordered 10 leeches to the region of the right kidney. P. Opii, gr. ss. Otis horis. He soon got better, and all trace of blood in the urine ceased. It was thought that he had sustained but a trifling injury; but, on the 30th (nine days after the accident) a great quan- tity of blood appeared in the urine, and the pain over the right kidney returned. He was again treated with P. Opii, gr. ss. 4tis horis. The haematuria continu- ing, on the following day he was cupped to 3vi. and ordered saline medicine. J an. 2d.—Much worse. This morn- ing he passed sixteen ounces of pure blood per urethram; it coagulated, as if drawn from the arm. His pulse is feeble; tongue dry and brown.—Hiru- dines, xxiv.; Acid. Gallic, gr. v. ex aqua dest. 3tis horis. Prom this time the haemorrhage con- tinued more or less, in spite of the ex- hibition of eveiy styptic, such as lead and opium, gallic acid, turpentine, tincture of sesquichloride of iron, &c. On the 13th it was suggested that qui- nine should be given him, as Mr. Law- rence was acquainted with a similar case where its exhibition was succeeded by the most satisfactory results. He