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When killed the capon was found to be very fat: there were masses of fat around the intestines and under the peritoneum, which made it impossible to make out details such as ureter and vas deferens properly. I found a white nodule about half an inch in diameter attached to mesentery. The liquid pressed from this was swarming with spermatozoa in active motion.
There was ectopia vesicae and prolapse of the intestine at the umbilicus; the right kidney was elongated; the right vas deferens opened into the ureter. There was persistence in a separate condition of the two Mullerian ducts which opened externally inferiorly, and there were two ducts near the openings which represented anal pouches. Both testicles were in the abdomen.
Green reports the case of a female child in which the right kidney and right Fallopian tube and ovary were absent without any rudimentary structures in their place. Guiteras and Riesman have noted the absence of the right kidney, right ureter, and right adrenal in an old woman who had died of chronic nephritis. The left kidney although cirrhotic was very much enlarged.
Finally, he points out the practical bearing of the subject for example, the probability of calculus causing sudden suppression of urine in such cases and also the danger of surgical interference, and suggests the possibility of diagnosing the condition by ascertaining the absence of the opening of one ureter in the bladder by means of the cystoscope, and also the likelihood of its occurring where any abnormality of the genital organs is found, especially if this be unilateral."
These are only a few of the examples of this most interesting collection. Rupture of the ureter is a very rare injury. Poland has collected the histories of four cases, one of which ended in recovery after the evacuation by puncture, at intervals, of about two gallons of fluid resembling urine. The other cases terminated in death during the first, fourth, and tenth weeks respectively.
At first in the oldest Amniotes this ureter opens into the cloaca together with the last section of the nephroduct, but afterwards separately from this, and finally into the permanent bladder apart from the rectum altogether.
Unsuccessful attempts were made to extract the ball, and as there was no urine in the bladder, but a quantity escaping from the wound, a diagnosis of divided ureter was made.
The ureters have been found multiple; Griffon reports the history of a male subject in whom the ureter on the left side was double throughout its whole length; there were two vesical orifices on the left side one above the other; and Morestin, in the same journal, mentions ureters double on both sides in a female subject. Molinetti speaks of six ureters in one person.
There was an analogue of this case found by Mercurialis in a child of a Jew called Teutonicus. Gerster reports a rare form of imperforate anus, with malposition of the left ureter, obliteration of the ostia of both ureters, with consequent hydronephrosis of a confluent kidney. There was a minute opening into the bladder, which allowed the passage of meconium through the urethra.
Littre in 1705 described a case of coalition of the ureters. Allen describes an elongated kidney with two ureters. Coeyne mentions duplication of the ureters on both sides. Lediberder reports a case in which the ureter had double origin. Tyson cites an instance of four ureters in an infant.
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