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June 27, 1885


JAMA. 1885;IV(26):717. doi:10.1001/jama.1885.02391010017008

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Editor Journal American Medical Association: Sir:  —A post mortem examination was made June 5, 1885, on the body of Mrs. C., aged 42 years, by Dr. L. North, who was called to attend the patient during her last illness, which continued about a week. Dr. Conklin and the writer, who had seen Mrs. C. in consultation, were also present at the post mortem examination. A large calculus, weighing 1,230 grs., and a smaller stone, which weighed 87 grs., were found embedded in the right kidney, together with about six ounces of sanious pus. This kidney, with its contents, formed a tumor located about an inch below and two inches to the right of the umbilicus, which could be distinctly mapped out during the life of the patient. Inflammation of the kidney, involving the neighboring structures, had finally extended to the greater omentum, and from thence to the ascending and transverse

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