Report of two successful nephrectomies / by George Ben Johnston.

  • Johnston, George Ben, 1853-1916.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Report of two successful nephrectomies / by George Ben Johnston. 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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    REPORT OF TWO SUCCESSFUL NEPHRECTOMIES* By George Ben. Johnston, M. D., Richmond, Va. Pkofessor of Gynecology and Abdominai. Surgery, Medical College OF Virginia, t The two specimens which I present for your inspection are from a considerable collection obtained during the course of a large number of operations on the kidneys. I do not offer them because they are unusually rare but because they are fine specimens of their types and chiefly because the troubles for which these kidneys were removed grew out of mobility of the organ and illustrate dangers to which I directed the attention of the profession in a paper on movable kidney pre- sented to the Southern Surgical and Gynecological Associa- tion several years ago. Case I.—Nephrectomy for cyst of right {inovable') kidney. Recovery.—Case referred by Dr. Moses D. Hoge. Mrs. J. P. A., aged 6o years. About fifteen years ago patient herself noticed a movable tumor on the right side of the abdomen, and, on calling the attention of her family physician to this, the latter diagnosticated movable kidney. Since that time patient has suffered with intermittent attacks of gastric and nervous nature. These have gradually become more frequent and severe, and had been especially annoying during the twelve months preceding the time at which I was called in consultation. Rapid increase in size of tumor for past eight months, and this increase especially pronounced during past two weeks. Patient not confined to bed. Complains of numb- ness of lower extremities, especially on right side. Appetite good. Bowels and urination regular. When I first saw this case, in consultation with Dr. H. H. Levy, the diagnosis was made of movable kidney with prob- able hydronephrosis, and it was thought that only a neph- rectomy would afford a cure. Before undertaking this an *Read before the Tri-State Medical Association of tlie Carolinas and Vir- ginia at its first annual session, Charlotte, N. C., Jan. 18-20, 1899.