File:American X-ray journal (1903) (14754979231).jpg

Identifier: americanxrayjour1213unse (find matches)
Title: American X-ray journal
Year: 1903 (1900s)
Authors:
Subjects: X-Rays Radiography
Publisher: St. Louis : American X-Ray Publishing Co.
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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ting, sharp shooting plaining of pain in the region of the pains in the region of the kidney, ureter CHICAGO ELECTRO-MEDICAL SOCIETY. 145 and bladder, extending down along thecourse of the spermatic cord, sufficient todouble him up and make him roar inagony, accompanied by nausea, rigors,restlessness and frequent attempts to passurine. At times there was incontin-ence of urine. Numerous examinationshave been made under anesthesia. Instru-mentation of bladder with sounds has beenresorted to. All this, and more, too, withnegative results. A thoro course of medica- made two days later by Dr. Pratt, reveal-ing two large stones situated in the blad-der. The patient Avas taken to the hos-pital and prepared for operation. OnMarch 20, I removed by a superpubic in-cision two stones, each about the size ofa walnut. The bladder was not infect-ed, but was large and extremely hyper-trophied. The wound was closed by tworows of Lembert sutures, also superficialand deep sutures of the skin, no provi-
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Fig- 1. VESICAL CALCULI IN SITU.Taken in Dr. Pratts X-Ray Laboratory. tion has been tried to relieve the steadyprogressive pain, which necessitates theboys parents watching him day and night.I first examined the boy March 15th ; andmade a probable diagnosis of urinary cal-culi, insisting, however, that the boy besubmitted to an examination by the mostreliable means known to the surgeon,namely, the x-ray. The examination was sion being made for draining. A cath-eter was placed in the bladder and per-mited to remain four days, after whichthe boy voided urine naturally. Thepatient made a complete recovery and isnow attending school. The case is ofmore than ordinary interest, being a sixyear old patient with multiple stones. Italso teaches the importance of resorting 146 THE AMERICAN X-RAY JOURNAL. to an early x-ray examination. In com-petent hands the value is positive. Weknow thru the investigations of Dr.Byron Robinson where to look for cal-culi, namely, in the calyces of the kidneyand

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