Johns Hopkins Hospital Bulletin Volume 22

Johns Hopkins Hospital Bulletin Volume 22

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1911 edition. Excerpt: ...case would be found in the prostatic urethra." If this be a true explanation, then the mass of tissue above the kidney is the remnant of an atrophic or hypoplastic kidney, or it is the remains of the Woltfian body. In the former case we should be dealing with a unilateral multiplicity of kidneys, each with its ureter, one of which opens into the prostate; in the latter we should have to consider that the duct was the result of persistence of the united Wolflian duct and ureter. There is the other possibility that in this case we are merely dealing with anabnormal course of a complete ureter without any participation of a Wolfiian duct, as occasionally happens in cases with accessory ureters. It is to be noted that in such cases the one of the ureters, usually the one which has the superior origin, lies deeper and may open into the colliculus seminalis, the vas deferens or the seminal vesicle. In any case we cannot account for absence of the adrenal except on the basis of aplasia, or perhaps--if the nodule mentioned above be adrenal--hyperplasia. Either of these results, it might be suggested, may be the result of the development of accessory renal tissue at the expense of adrenal. The embryonic relationships of the urogenital organs are so close that the possibilities of variations_are very numerous. Marchand emphasized this from the side of the genito-adrenal organs when he suggested that variations in the sizes of adrenals and ovaries cannot be considered as purely fortuitous. It is our misfortune that the anatomic evidence at our disposal is not sufficient to permit us to come to any decision as to whether we are dealing with the result of one or the other of the possibilities mentioned. ACUTE CHOLEOYSTITIS WITH LARGE AMOUNTS OF...show more

Product details

  • Paperback | 408 pages
  • 189 x 246 x 21mm | 726g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 123675123X
  • 9781236751232