Biomedical subjects
Publications and source records attributed to W H Seery.
Preureteric vena cava is a rare congenital anomaly usually presenting clinically with hydronephrosis and an "S or fishhook" deformity of the ureter at the third or fourth lumbar vertebrae. Unusual presentations do occur and can lead to misdiagnoses. Herein such a case originally diagnosed as a ureteropelvic junction obstruction is presented and the embryology reviewed.
The seventeenth case of hemangioma of the urethra is reported. A review of the literature supports our own experience that this growth tends to recur locally. It is our opinion that an initial wide resection should be performed. The margins of the removed lesion must be uninvolved or recurrence is almost certain.
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Five cases of renal cortical abscess are presented, of which four yielded gram-negative pathogens. Along with a review of the recent literature, this suggests that nonstaphylococcal bacteria are a more common cause of this disease.
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A case of late spontaneous rupture of an ileal conduit, obstructed by a fibrous band, is presented. Resection of the proximal segment of the conduit bearing the perforation resulted in complete recovery.
A brief discussion of ureteral injuries with emphasis on injuries secondary to penetrating external violence is presented. Four cases with gunshot injuries to the ureter are documented. The symptoms, diagnosis, and treatment of injuries due to penetrating missiles are presented. The need for routine preoperative intravenous urography and the necessity of having urinary diversion proximal to the anastomosis are stressed.