Unusual Case of Hæmaturia

number and nature of attacks, and this without daniger to mind or body, by the judicious use of phenobarbital. \Vith two years freedom it is justifiable to gradually reduce the dose until, aftel-a further period of three months, the drug is abandoned altogether. REFERENCES. I'HE fOlloWing is recorded as an illustration of the difficulties in (liagnosis and treatment in dealing withl a patient suffering from hwmaturia. a severe attack of asthima fromii wilichi hie had suffere(d for eight years. Beyond ail occasional sense of fullness in thc left iliac fossa,, andl a loss of weight amnounting to two stones in the preceding eighteen months, tlhere were no other symptoms, and the family history was irrelevant. Beyond appendicectomy twenty-six years before, there were no other illnesses. He was thin but, apart from his asthmnatic conidition, hiealthiy. 'Ihe urine coni-tained a large quantity of blood, but was sterile; X-ray showed no calculus. Cystoscopy revealed a normnal bladdler and ureteral orifices, but regular spurts ol blood from the left side. The pyelogram was perfectly normal. He was opposed to operation on account of his chest condition. The hematuria ceased for a few days, andci he was discharged; but it reconi-menced a (lay or two later. Cystoscopy was again performed, three weeks after the first occasion, with identical results. X-ray after intravenous Liroselectan showed a normally funietioning right kidniey, but defective filling andl secretion on the left side. He now agreed to exploration, bleeding hiaving persisted for three montls. At operation a perfectl) normal kidney presented, and most careful examination failed to detect the slightest evidence of any tumour of the pelvis. 'lhere was, however, a large aberrant artery to the lower pole. This was divided, and for 171