Movable kidney and intermitting hydronephrosis : a thesis for the degree of M.D. Aberdeen / by G.D. Knight.

  • Knight, George Davis.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: Movable kidney and intermitting hydronephrosis : a thesis for the degree of M.D. Aberdeen / by G.D. Knight. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    cases the degree of movement considerably exceeded that amount. In one case (Bindley's) the kidney moved over an area 8 or 9 inches in diameter. Frequently the dis- placement was accompanied by a rotation of the kidney on one or other of its axes. A case is recorded by Goodhart where the organ was turned completely round, the posterior surface becoming the anterior, over which the ureter coursed. In some recorded cases the extent of motion was so great that the kidney could pass beneath the peritoneum to the opposite side of the spinal column, gravitate below the brim of the pelvis, or slip forwards beneath the abdominal parietas. Finally, that, though the published cases of floating kidney (with a mesonephron) probably exhibited a greater degree of mobility (Henderson, Keetley, Stevens, &c.) than those cases where the kidney moved beneath the peritoneum, yet clinically it was found impossible to sepa- rate the two varieties. Morris points out, however, that surgically the diagnosis is a matter of considerable import- ance, as the danger of such an operation as nephrorr^phy will be much increased by the presence of a mesonephron. The first to investigate the frequency of this affection was Rollet.* He examined 5500 patients in Oppolzer's Clinic, and found 22 examples, giving a ratio of i in 250. Skorszewsky detected 32 cases in 1030 females and 3 cases in 392 males. This gives a percentage of 3*2 in females as against less than i per cent, in males. RoUet's patients were selected indifferently. Oser, of Vienna, considers that 10 per cent, of the women of the lower classes in Austria who have borne children would exhibit, if examined, some degree of mobility of the kidneys. Dickinson,! however, from his experience, considers it to be equally frequent in the upper and lower classes. * ' Pathologie und Therapie der beweiglichen Niere,' 1866. t ' Renal and Urinary Diseases.'