A Case of Recurring and Encysted Vesical Calculus

نویسنده

  • S. Kanthimathy Nathan
چکیده

A young lad by name Naranappa, aged 16 years, was admitted to this hospital on the 3rd December, 1924, for a persistent fistulous opening in the hypogastric region, through \\ hich urine \\ as always dribbling and soilin?" his clothes. On the 13th March/1921, he had been previously admitted to the same hospital for stone in the bladder, and a big stone weighing 6 drachms 13 grains was removed by suprapubic cystotomy. The bladder and abdominal walls were closed, and the bo}' was discharged cured on the 19th March, 1921, the wound healing by first intention. For two years he did well and passed urine quite comfortably. In the middle of 1923, he began to experience the old urinary trouble and began to be quite uncomfortable and suffered much from difficult micturition. About the month of January 1924, he felt excruciating pain in the hypogastric region which began to swell up. On applying poultices the swelling gave way at the site of the previous operation by ulceration, through which urine came out freely. A fairly big stone was perceptible through the wound. This state of affairs continued for some time. In the month of September 1924, on a particular day, there was acute retention of urine owing to the blockage of the suprapubic wound by the stone and urethral obstruction as well. When the boy strained to his utmost in his anxiety to drive his urine out, out came a bigstone through the abdominal wound with a rush of urine. The boy says that, as the result

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عنوان ژورنال:

دوره 60  شماره 

صفحات  -

تاریخ انتشار 2016