Page 139 (image) |
Previous | 141 of 670 | Next |
|
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
Loading content ...
March, 1942 URETERAL ECTOPIA—DANIEL 139 Fig. 1. Retrograde pyeloureterogram of the ectopic ureter. Note the marked dilatation, kinking, and tortuosity. type. She took food poorly and had much trouble with abdominal distention. The white blood cell counts ranged from 15,000 to 32,- 000. Twelve days after operation, urine began to drain from the posterior end of the incision. Immediately the fever and abdominal distention disappeared. The patient was discharged and told to return later for a second operation. Second operation: Six weeks later, under general anesthesia, the left kidney was again exposed. The upper segment was even more greatly dilated than on the first examination. Heminephrectomy was considered, but a line of cleavage could not be found. We were afraid of causing hemorrhage and of injuring the blood supply to the lower half of the kidney. Nephrectomy was carried out nnd the dilated ureter was removed down to the pelvic brim. The patient made an uneventful recovery. She was last seen eight months after operation. She was feeling well and had gained Fig. 2. Intravenous urography done immediately after the retrograde pyeloureterogram (fig. 1). The right kidney and ureter are well filled and normal. The lower half of the left kidney is also normal. weight. The incision was firm. The urine was clear and negative. From the history in this case, it was suspected that there was an ectopic ureteral orifice. It was also concluded that this ureter was markedly dilated and drained a functionless segment of the kidney. This conclusion was based on the fact that the drainage was clear and colorless and did not stain the pads. Because of the left-sided abdominal pain, the left kidney was indicted. From the review of the literature and our observations on this case, we do not feel that ureteral ligation should be carried out in the presence of ureteral dilatation or infection. Retroperitoneal ligation should probably never be tried, since there are 50 per cent failures and any later operation is rendered more hazardous for the patient and more difficult for the surgeon. On the other hand, vaginal ligations are quite simple and possess all the advantages and none of the
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1942 |
Identifier | NCHH-17-003 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 3 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-003.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-003 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 139 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1942 |
Identifier | NCHH-17-003-0145 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed31942medi_0145.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 3 |
Issue Number | 3 |
Page Number | 139 |
Health Discipline | Medicine |
Full Text | March, 1942 URETERAL ECTOPIA—DANIEL 139 Fig. 1. Retrograde pyeloureterogram of the ectopic ureter. Note the marked dilatation, kinking, and tortuosity. type. She took food poorly and had much trouble with abdominal distention. The white blood cell counts ranged from 15,000 to 32,- 000. Twelve days after operation, urine began to drain from the posterior end of the incision. Immediately the fever and abdominal distention disappeared. The patient was discharged and told to return later for a second operation. Second operation: Six weeks later, under general anesthesia, the left kidney was again exposed. The upper segment was even more greatly dilated than on the first examination. Heminephrectomy was considered, but a line of cleavage could not be found. We were afraid of causing hemorrhage and of injuring the blood supply to the lower half of the kidney. Nephrectomy was carried out nnd the dilated ureter was removed down to the pelvic brim. The patient made an uneventful recovery. She was last seen eight months after operation. She was feeling well and had gained Fig. 2. Intravenous urography done immediately after the retrograde pyeloureterogram (fig. 1). The right kidney and ureter are well filled and normal. The lower half of the left kidney is also normal. weight. The incision was firm. The urine was clear and negative. From the history in this case, it was suspected that there was an ectopic ureteral orifice. It was also concluded that this ureter was markedly dilated and drained a functionless segment of the kidney. This conclusion was based on the fact that the drainage was clear and colorless and did not stain the pads. Because of the left-sided abdominal pain, the left kidney was indicted. From the review of the literature and our observations on this case, we do not feel that ureteral ligation should be carried out in the presence of ureteral dilatation or infection. Retroperitoneal ligation should probably never be tried, since there are 50 per cent failures and any later operation is rendered more hazardous for the patient and more difficult for the surgeon. On the other hand, vaginal ligations are quite simple and possess all the advantages and none of the |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://hsl.lib.unc.edu/specialcollections/nchealthhistory/nchh-17-pdf |
Document Sort | all; nchh-17 |
Article Title | Ureteral Ectopia |
Article Author | W E Daniel |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-003 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Tags
Comments
Post a Comment for Page 139 (image)