ar with his
kidney in a state of destructive disease. Borthwick mentions a dragoon
of thirty who was stabbed by a sword-thrust on the left side under the
short rib, the sword penetrating the pelvis and wounding the kidney.
There was no hemorrhage from the external wound, nor pain in the
spermatic cord or testicle. Under expectant treatment the man
recovered. Castellanos mentions a case of recovery from punctured wound
of the kidney by a knife that penetrated the tubular and cortical
substance, and entered the pelvis of the organ. The case was peculiar
in the absence of two symptoms, viz., the escape of urine from the
wound, and retraction of the corresponding testicle. Dusenbury reports
the case of a corporal in the army who was wounded on April 6, 1865,
the bullet entering both the liver and kidney. Though there was injury
to both these important organs, there was no impairment of the
patient's health, and he recovered.

Bryant reports four cases of wound of the kidney, with recovery. All
of these cases were probably extraperitoneal lacerations or ruptures.
Cock found a curious anomaly in a necropsy on the body of a boy of
eighteen, who had died after a fall from some height. There was a
compound, transverse rupture of the left kidney, which was twice as
large as usual, the ureter also being of abnormal size. Further search
showed that the right kidney was rudimentary, and had no vein or artery.

Ward mentions a case of ruptured kidney, caused by a fall of seven
feet, the man recovering after appropriate treatment. Vernon reports a
case of serious injury to the kidney, resulting in recovery in nine
weeks. The patient fell 40 feet, landing on some rubbish and old iron,
and received a wound measuring six inches over the right iliac crest,
through which the lower end of the right kidney protruded; a piece of
the kidney was lost. The case was remarkable because of the slight
amount of hemorrhage.

Nephrorrhaphy is an operation in which a movable or floating kidney is
fixed by suture through its capsule, including a portion of
kidney-substance, and then through the adjacent lumbar fascia and
muscles. The ultimate results of this operation have been most
successful.

Nephrolithotomy is an operation for the removal of stone from the
kidney. The operation may be a very difficult one, owing to the
adhesions and thickening of all the perinephric tissues, or to the
small size or remote location of the stone.

There was