[Anomalies and Curiosities of Medicine by George M. Gould]@TWC D-Link book
Anomalies and Curiosities of Medicine

CHAPTER XIII
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Peritonitis was apparently not present in any of the cases, the urinary extravasation having occurred into the cellular tissue behind the peritoneum.
There are a few recorded cases of uncomplicated wounds of the ureters.
The only well authenticated case in which the ureter alone was divided is the historic injury of the Archbishop of Paris, who was wounded during the Revolution of 1848, by a ball entering the upper part of the lumbar region close to the spine.

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 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.
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.


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