—Gayet1 pointed out the difficulty encountered when lithiasis occurs in a solitary, infected kidney or bilaterally in kidneys with the renal parenchyma in an advanced stage of destruction. He reported 2 cases of this type in which minor operative procedures, such as incision of the renal parenchyma with insertion of an individual indwelling catheter and the opening of a perinephric abscess, had kept the patients from succumbing to the disease and had relieved them at least temporarily. In 1 case the right kidney was practically functionless whereas the left kidney contained a large stone. In the other case, the stone was in a horseshoe kidney; the urine was purulent, and there was a perinephric abscess communicating with the pelvis.Most of the patients with these conditions are uremic and cannot endure a long operation under general anesthesia. The period of operation must be brief, and as a
SCHOLL AJ, JUDD ES, VERBRUGGE J, HEPLER AB, GUTIERREZ R, O'CONOR VJ. A REVIEW OF UROLOGIC SURGERY. Arch Surg. 1934;29(4):678–696. doi:10.1001/archsurg.1934.01180040154013
Monkeypox Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.