File:The diagnosis and treatment of diseases of women (1907) (14597756520).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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two could be felt. The diagnosis then laybetween a kidney tumor and an enlarged spleen. The palpable portion of themass did not have the characteristic shape of either the kidney or the spleen,but it approached nearer the shape of the spleen. There were no kidneysymptoms. Percussion showed dullness all over the mass (Fig. 202) ■— therewas no colon resonance. But the mass was more deeply placed than an enlargedspleen usually is, and the upper end seemed to extend directly into the kidneyregion. So I inflated the colon in the office examination, and the colon resonance A BILATERAL RETROPERITONEAL TUMOR 169 at once stood out well on percussion (Fig. 203), demonstrating that the masswas back of the colon and therefore probably a kidney growth. The correctnessof the diagnosis was proven at the operation. Fig. 204 shows the mass, whichwas a cystic tumor of the kidney. The growth was so large that it was neces-sary to remove it by transperitoneal nephrectomy. The entire absence of kidney
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H Region of com.parative safety. Fig. 206. Peri-renal Lipoma. Same case as Fig. 205. A view from infront, showingan approximate outline of the tumor and the possible area of dullness, and also how thecolon could be made to stand out resonant by inflation. Also, the region of compara-tive safety for beginning enucleation of the tumor, is indicated. (Edward Reynolds—Annals of Surgery.) or bladder symptoms was due to the fact that the left kidney was totally destroyedand had not been secreting, all the kidney work being done by the right kidney.A rare and interesting form of retroperitoneal growth is the retroperitoneallipoma, ^which^usually has its origin in the peri-renal fat. 170 GYNECOLOGIC DIAGNOSIS V It may grow extensively in various directions and in some cases become so largethat it fills the abdomen, pushing the intestines aside or flattening them out on itssurface. Edward Reynolds, of Boston, reported a very extensive tumor of thiskind. The size and location of the mass and

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