Calculus Hydronephrosis in a Horse-Shoe Kidney
نویسنده
چکیده
The following case appears to be worthy 01 record on account of the rarity of renal stones in females and also because of the condition revealed afterwards. The patient, a Hindu child-widow, aged about 40 years, was admitted to the Java Arogya Hospital, Gwalior, on 8th March, 1931, complaining of a tumour in the abdomen of four months' duration. There was nothing of note in the personal history, but the family history elicited the fact that an aunt had died, unoperated upon, of a similar tumour. The patient herself had suffered since childhood from acute attacks of pain and vomiting, associated with a swelling in the right lumbar region. The symptoms had hitherto yielded to fomentations. These attacks had recurred at irregular intervals, and she had been treated at various hospitals for colic or colitis. There was no history of dysuria. On admission she was seen to be a spare, anaemic woman with severe pyorrhoea alveolaris. Except for a coated tongue and constipation the alimentary system was normal. The respiratory, circulatory and nervous systems showed no abnormality. A large tumour was visible occupying the right loin and lumbar region, extending medially as far as the umbilicus, upwards to the costal margin and downwards to the iliac crest; this area was covered by old marks of branding. It
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Xanthogranulomatous pyelonephritis in a horse-shoe kidney.
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