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The Archbishop died in eighteen hours, and the autopsy showed that the ball had fractured the transverse process of the 3d lumbar vertebra, and divided the cauda equina just below its origin; it had then changed direction and passed up toward the left kidney, dividing the ureter near the pelvis, and finally lodged in the psoas muscle.
As the permanent kidneys grow rapidly and advance forward, their passage, the ureter, detaches altogether from its birth-place, the posterior end of the nephroduct; it passes to the posterior surface of the allantois.
And thus the irritation of a stone in the bile-duct, or in the ureter, or an inflammation of any of the intestines, are accompanied with vomitings and vertigo. In these cases the irritative motions of the stomach, which are in general not attended to, become so changed by some unnatural stimulus, as to become uneasy, and excite our sensation or attention.
It occasionally happens that the ureter is wounded in the removal of uterine, ovarian, or other abdominal tumors. In such event, if it is impossible to transplant to the bladder, the divided or torn end should be brought to the surface of the loin or vagina, and sutured there. In cases of malignant growth, the ureter has been purposely divided and transplanted into the bladder.
A remarkable procedure recently developed by gynecologists, particularly by Kelly of Baltimore, is catheterization and sounding of the ureters. McClellan records a case of penetration of the ureter by the careless use of a catheter. Injuries of the Bladder. Jones reports a fatal case of rupture of the bladder by a horse falling on its rider.
Microscopically the enlargement would seem to be due rather to hyperplasia than to hypertrophy. The bladder, except for absence of the opening of one ureter, was generally normal.
Inferior vena cava. 6. Renal arteries. 7. Renal veins. *Structure of the Kidneys.*—Each kidney is a compound tubular gland and is composed chiefly of the parts concerned in secretion. The ureter serves as a duct for removing the secretion, while the blood supplies the materials from which the secretion is formed.
Cock found a curious anomaly in a necropsy on the body of a boy of eighteen, who had died after a fall from some height. There was a compound, transverse rupture of the left kidney, which was twice as large as usual, the ureter also being of abnormal size. Further search showed that the right kidney was rudimentary, and had no vein or artery.
Do they lie in front of or back of the peritoneum? Do they lie exactly opposite each other? Find a slender tube, the ureter, running from each kidney to the bladder. Do the ureters connect with the top or with the base of the bladder? Show by a sketch the connection of the kidneys with the large blood vessels and the bladder.
A tube, called the ureter, passes out from the concave border of each kidney, turns downwards, and enters the bladder in the basin of the pelvis. This tube is from 12 to 14 inches long, about as large as a goose quill, and conveys the secretion of the kidneys to the bladder. Structure of the Kidneys.
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