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Article
October 12, 1912

SUCCESSFUL TRANSPLANTATION OF URETER FROM VAGINA TO FUNDUS OF BLADDER TWENTY MONTHS AFTER WERTHEIM OPERATION IN WHICH GREATER PART OF TRIGON WAS RESECTED

Author Affiliations

Birmingham, Ala. Surgeon to St. Vincent's Hospital

JAMA. 1912;LIX(15):1376-1377. doi:10.1001/jama.1912.04270100144015

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Abstract

History.  —The patient, Mrs. J. L. H., aged 45, consulted me Jan. 6, 1910, for an extensive carcinoma of the uterus. The family history was negative. Menstruation began at 15, was irregular and rather profuse. The patient was married at 18 and had three children, the eldest 29 and the youngest 22; there were no miscarriages; menstruation had been regular since the birth of the first child. The patient had never had any serious illness. In November, 1908, she began to have a continuous, free, bloody discharge. Six months prior to operation she began to have severe pain in the back and in the pelvis and the discharge became very offensive.

Examination.  —The patient was very much emaciated, having lost 45 or 50 pounds, and very cachectic. The cervix was a mass of broken-down cancerous tissue which bled profusely when sponged, and extended well up into the uterus and down

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