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November 12, 1910


JAMA. 1910;55(20):1691-1697. doi:10.1001/jama.1910.04330200001001

It is my purpose in the present paper to confine myself chiefly to a discussion of the diagnosis and complications of kidney and ureteral stones, and to report a case of more than usual interest. Concerning the number and size of these concretions I have nothing of interest to report except that in the case herewith reported the combined weight of the stones removed from the ureter was 1,920 grains (4 ounces), the largest single stone weighing 1,420 grains. So far as my knowledge goes this is the largest stone ever removed from the ureter, and the collection exceeds in weight any other collection removed from a single ureter.

Case 1.—  In my experience the youngest patient was a girl baby, which, when less than six months old had numerous attacks of ureteral colic and passed a teaspoonful of calculi ranging in size from a millet-seed to a wheat-grain. At

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