Case of cystic tumour attached to kidney simulating ovarian disease, extirpation of kidney, recovery / by A. Campbell.

  • Campbell, A.
Date:
1874
Catalogue details

Licence: Public Domain Mark

Credit: Case of cystic tumour attached to kidney simulating ovarian disease, extirpation of kidney, recovery / by A. Campbell. Source: Wellcome Collection.

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    11th Dec., 10 A.M.—Pulse 108; temp. 98*6°. Complains of a very disagreeable pain in rectum, with an almost constant desire to defecate. To have a quarter of grain of morphia in suppository. 7 p.m.—Pulse 120; temp. 102*8°. Kesume aconite. 18^ Dec.—Pulse 102; temp. 98°. Slept well till 3 A.M., when she began to retch. Pain in rectum continues. To have a table¬ spoonful of castor-oil by enema, and a half-grain morphia supposi¬ tory in evening. Stop opium, aconite, and wine. To have a teaspoonful of brandy frequently. Edges of wound gaping slightly in its whole length, and about half an ounce of pus has been dis¬ charged from it daily since the 16th. It is being dressed with strips of adhesive plaster and water-dressing. lQth Dec.—Pulse 108 ; temp. 98’5°. Has vomited bile frequently during the night. Bowels have moved freely several times. To have a pint of champagne daily. 20th Dec.—Pulse 120 ; temp. 98*7°. Slept for seven hours last night. Vomiting and pain in rectum have ceased. Feels and looks much better. 21st Dec.—Pulse 114. Forty ounces of urine in last twenty- four hours. Pale amber ; neutral; 1016 ; no sediment; no albumen. 28th Dec.—Has taken food tolerably well since last note. Much emaciated. 4th January 1874.—Daily quantity of urine, about forty ounces. From two to three drachms of pus are being discharged daily from wound, which seems united deeply, but is still open superficially. l&th January.—Takes milk and beef-tea, but very little solid food and stimulants. Tenesmus again troubles her occasionally. Has been able to sit up in bed for a short time on each of the last four days. 2d February.-1—Has been out of bed for a few hours daily during the last week, and has been free from tenesmus for nearly a fortnight. 9th February.—Wound healed except about half an inch super¬ ficially. Takes food much better. 24th February.—Health improving. Takes food with a greater relish than at any time since the operation. Wound quite healed. 24^ March.—Patient continues to improve. She can walk along the ward without support. Still very pale and thin. Takes food well. Sleeps well. Urine contains no albumen. Bemoved to-day to Convalescent House, nearly one mile distant. 9th April.—She is now making rapid progress towards complete recovery, is walking about freely, and intended returning home in a few days; but we, knowing that she must return to very reduced circumstances, have prevailed on her to stay for some time longer. My thanks are due to my friend, Dr Sinclair, medical superintend¬ ent, for the unwearied attention he bestowed on this case. Demarhs.—Before surgeons had the benefit of the admirable work u Chirurgie der Niere,” by Simon, of Heidelberg, and the publi¬ cation of his successful case, extirpation of the kidney was not