ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09453.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

摘要:

SUMMARYA case of subacute intestinal obstruction caused by a polycystic kidney is described, along with two other comparable cases. The mechanism of the obstructions is discussed.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09454.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

摘要:

SUMMARY1. A description of a male specimen with left renal agenesis and a recto‐urethral fistula is given.2. The right kidney measured 13‐1 cm. in length. The superior two‐thirds of the kidney lay against the posterior abdominal wall, the inferior one‐third in the iliac fossa.3. The ureter was large throughout its length, the lumen decreased considerably in diameter until it was almost pinpoint in size as it entered the bladder.4. The walls of the bladder were thick and the trigone incomplete. The ureteral extremity and orifice were absent on the left side as well as that half of the torus uretericus.5. The suprarenal glands were present on both sides.6. The rectum entered the membranous part of the urethra.7. There was puckering of the anal skin with the rectum at a considerable distance from the anus.8. There was puckering of the skin around the anal dimple which lay at a considerable distance from the

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09455.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

摘要:

SUMMARYThe effect of acute experimental uræmia, caused by the removal of one kidney and clamping of the renal pedicle on the other side for one and a half hours, upon the immunological responses to bovine serum albumin has been studied in the rabbit.Rabbits in a phase of severe uræmia experiencing bovine albumin for the first time show a marked delay in the elimination of this antigen from the blood stream. These animals failed to form antibody to bovine albumin during the thirteen days following primary challenge. After recovery from uræmia, these rabbits did eventually form normal amounts of antibody. It is suggested that this delay in antibody production is a “stress phenomenon.”The primary response to bovine albumin is unaffected by a phase of mild uræmia.The secondary response to this antigen is normal irrespective of whether the uræmia is mild or severe.The results presented are discussed in relation to the evidence obtained by other workers in patients suffering from both acute and chroni

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09456.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

摘要:

SUMMARYThe double micturition test consists of seeing whether, after a normal act of micturition, further urine can be produced two minutes later. Anything more than a few drops is considered to be positive and suggests that there may be bladder retention of urine or vesico‐ureteric reflux. An attempt has been made to determine the reliability of the test and, in particular, whether it can be used as a screen to pick out those cases of urinary tract infection who are likely to have reflux and need a micturating cystogram.The test was carried out on children in hospital who were able to co‐operate and did not have any urinary tract infection. Amongst 300 consecutive admissions 16 per cent, had positive tests on the first trial but only one was always positive however often tested, and in this child unsuspected vesico‐ureteric reflux was demonstrated radiologically.In contrast, 48 per cent, of 109 children with chronic pyelonephritis had positive tests on the first trial and in a little under half of these the test was repeatedly positive. Among fourteen cases who also had radiologically proved reflux there were four who had negative double micturition tests showing that a positive result is not invariable. Similarly it was not always positive when there was bladder neck obstruction.A consistently positive double micturition test indicates that there is probably urinary tract disease present, but negative tests do not rule out either vesico‐ureteric reflux or bladder neck obst

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09457.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09458.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

摘要:

SUMMARYOne hundred and fifteen patients with bladder diverticula requiring operative treatment are presented, clinical and pathological findings are described, and the various methods of operative management evaluated. Immediate and later results of treatment are reported and related to the operative methods.We are indebted to the Consultant Surgeons of St Peter's Hospital for the opportunity to investigate their patients and for their kind advice and criticism. Our thanks are also due to Mr R. Bartholomew of the Department of Photography, Institute of Urology.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09459.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

摘要:

SUMMARYThe literature on the survival of patients with ectopia vesicæ is reviewed.The terminal illness of a man with this condition who lived for 75 years without treatment is presented. Such longevity is most unusual.The present position with regard to surgical treatment is briefly commented on

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09460.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

摘要:

SUMMARYThe pathology and symptomatology of the obstructed bladder neck in children have been discussed briefly, and a diagnostic method has been suggested. The treatment of the condition has been mentioned and the early results of bladder‐neck plasty discussed in twenty‐one cases operated on during the last three years at the Royal Alexandra Hospital for Children, Sydney.The writer would like to thank the surgeons and physicians who referred these patients to his c

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09461.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY

摘要:

SUMMARYA case of gangrenous cystitis is presented. The original cystographic appearances were confused by the use of a non‐miscible, radio‐opaque solution that gave rise to false appearances.In view of the post‐operative retrograde pyelographic appearances, an original diagnosis of renal papillitis was considered, which might have led to the gangrenous cystitis. The radiological appearances, however, are not consistent with this diagnosis. It has not been possible to find a distinct cause, nor finally to control the urinary infe

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1962.tb09462.x

出版商:Blackwell Publishing Ltd    

年代:1962

数据来源: WILEY