Case of the high operation of lithotomy : in which unusual difficulty was experienced in the extraction of the stone / by George Ballingall.

  • Ballingall, George, 1780-1855.
Date:
[1826]
Catalogue details

Licence: Public Domain Mark

Credit: Case of the high operation of lithotomy : in which unusual difficulty was experienced in the extraction of the stone / by George Ballingall. Source: Wellcome Collection.

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    excruciating pain after it. Was sounded, about twelve months ago, but no stone discovered. The prepuce is contracted, and somewhat elon¬ gated ; abdomen rather tumid; appetite pretty good; bowels regular; prolapsus ani occasionally occurs. Since his admission into the House, he has been repeatedly observed to pass his urine in a full and continued stream, apparently without pain ; and has also passed it, frequently unobserved, during the night. The greatest quantity voided, at any one time, is about six ounces; of a pale and rather cloudy appearance, but without any remarkable deposit. Was sounded the day after his admission ; and again, on the 5th instant, in presence of all the surgeons of the House. Upon one occasion I felt the sound grate against a stone; but the information conveyed by this instrument is obscure and unsatisfactory; no one having ever heard it strike the stone. At both examinations the boy passed his faeces during the operation; and the rectum protruded to a consider¬ able extent. Was sounded again on the 7th in¬ stant, and the existence of a stone distinctly esta¬ blished ; chiefly by the finger of one hand in the rec¬ tum, and the other above the pubes. The stone was ascertained to be very large, and to lie unusually high up. On examination from the rectum, while a sound or catheter is in the bladder, the parietes of this viscus appear thin and healthy. Has had occasional pur¬ gatives, and has been repeatedly in the warm-bath since his admission. For some days past, he has been