The patient presented an unusual series of lesions, namely, uterine myoma with hemorrhage, spinal caries and kyphosis, together with a large bleeding tumor of the kidney. Hysterectomy was first done for the myoma. The kidney hemorrhage filled the bladder with firm clots which decomposed; a vesicovaginal incision gave exit to the offensive clots and averted infection of the kidney growth. The latter was removed by nephrectomy and later under local anesthesia the vesicovaginal fistula was closed. The patient recovered.
M. J., aged 27, married, sterile, was an overtall thin mulatto woman. On admission to the Presbyterian Hospital she was able to give little history except that of irregular hemorrhage from the vagina for a year, at times severe. The day before admission the urine was bloody also, but she had not clearly distinguished the uterine from the urinary bleeding in the past. For two months she had
SHOEMAKER GE. PAPILLARY CYSTADENOMA OF THE KIDNEY ASSOCIATED WITH MYOMA OF THE UTERUS AND SPINAL CARIES. JAMA. 1910;55(16):1336–1338. doi:10.1001/jama.1910.04330160004002