Publications of the Massachusetts General Hospital

Cover Publications of the Massachusetts General Hospital
Publications of the Massachusetts General Hospital
Massachusetts General Hospital
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There has been frequency of Digitized by GoogI( 98 SCUDDER.
micturition during the past few months. She has had to sit erect at night in order to breath with ease.
Patient is a poorly developed and nourished person. A pre-systoHc heart-murmur is heard, which is transmitted into the axilla. The chest is apparently normal. The abdominal walls are tense. The abdominal tumor is about the size of a twin pregnancy at term. The girth is 42 J^ inches. There is a fluctuation wave over the whole abdomen.
... All the pelvic structures are pushed down into the pelvis.
June 6, 1903. Operation. Nephrectomy by Dr. C. L.
Scudder. Six to eight quarts of a free brownish fluid in the abdominal cavity. Colon displaced toward median, line.
Death June 10, 1903, five days after the operation, due to weakness and shock.
Pathological report by Dr. W. F. Whitney. — A kidney, in which was a very large new growth, which weighed 2280 grams. On section it was very soft, medullary in charac- ter, and of a rather variegated surface, in which yellow and red extensively predominated.


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