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August 18, 1906


JAMA. 1906;XLVII(7):479-485. doi:10.1001/jama.1906.25210070012001a

Congenital cvstic disease of the kidney is a rare affection and one which so far appears to have interested the pathologists far more than clinical observers. The pathology of the disease presents an abundance of controversial literature, for the reason, perhaps, that the condition has been hard to explain and has afforded abundant opportunity for discussion and theorizing, but we, as practitioners of surgery, must not forget that the disease is of eminent practical and surgical importance, and that, although we may not meet with it on the operating table many times in a long surgical career, it is well worth while, when those times come, to be prepared by a previous consideration of its clinical history, prognosis and surgical treatment.

It is a disease which frequently runs its course without a diagnosis being made during life, death occurring from uremia or cerebral hemorrhage, due to kidney insufficiency. The real

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