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The Case of a Tumor Growing on the Inside of the Bladder, Successfully Extirpated byJoseph Warner, Surgeon to Guy's Hospital; Communicated in a Letter to the PresidentAuthor(s): Joseph WarnerSource: Philosophical Transactions (1683-1775), Vol. 46 (1749 - 1750), pp. 414-416Published by: The Royal SocietyStable URL: http://www.jstor.org/stable/104671 .
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[ 414 ] Leakies both at hi^,h and low Water. Ai! this is to be underProod, V hen the Weatller is feafonalzle; for, otherwif¢, thcSe- ^4otions are not fv cti3->cr;ibc
This Account I lzaste colie-*ted partiy fio.+ tl1r oxrn Obfervation, 1lavitlg plA a g1eat Part-of nly Life at a Country-fcat ncar H1a.aX u71lWlc the r e>.ki<s arc tO
be feell ill ,reat PeLf_ction, drXd plrclfs froin \rlaat I have leartled fror^*l Ppoplw I.intz 01} diS*rcnt Paris of the River, wholw ObSerstatiorls, as s5Jeil as n5y oszrn, I find exat:tlfr agree svirtl tbofe of a learntd 8 Rela- tion of minc, xvho, near fevcnty Years ago, diligently obfwrved and enquired illtO the Phxnonlena of this Irregular Tide.
IV. 1Se 0e of a Tumor groxQttg on the Ir#2e of tbe Bladder, fiuccifally eszir- patedZ by Xofieph Warner, Ssrgeon to Guy's H^ofipital; coenmxnicatgd ir a Lenter to zhe Prefident.
Reac? MGY 10. }\ N ExcreSe:ence orTumorarifingfrotn 75° < thc internal Coat of the Bladdcr is
n lDifedre, tnoi Crh not serv comm :3n} ) et ltlffiCiCNtlS
Krion tO tac Curiotls: But 1 bclieve thJt litll rro,
ne one hac <;ttetu,p cd the Cure of tllis Diloldcrr Lav mxti 1 P at 0?) ) nor indeed call it be fu;>pofzdX that ti>+ e I >zaricWs ate frcquclltX 7 llere thc Operaticll is pr<o tivable. But ds it is Ilotorious froln tllc HlItol;, P;1J.ICk, unl Sur;,cr;T, that rcscral Dilordcrs xvi.i<.
\\r e r t w
* lI .. (:) ̂ oer w a isn * 5 were com ,;unicaert tn Sir FoGer + Xv DLf) *.a G, r tt a<A . ;2, ir. comL.i1 in} a S;otl>' Asia¢.
[ 414 ] Leakies both at hi^,h and low Water. Ai! this is to be underProod, V hen the Weatller is feafonalzle; for, otherwif¢, thcSe- ^4otions are not fv cti3->cr;ibc
This Account I lzaste colie-*ted partiy fio.+ tl1r oxrn Obfervation, 1lavitlg plA a g1eat Part-of nly Life at a Country-fcat ncar H1a.aX u71lWlc the r e>.ki<s arc tO
be feell ill ,reat PeLf_ction, drXd plrclfs froin \rlaat I have leartled fror^*l Ppoplw I.intz 01} diS*rcnt Paris of the River, wholw ObSerstatiorls, as s5Jeil as n5y oszrn, I find exat:tlfr agree svirtl tbofe of a learntd 8 Rela- tion of minc, xvho, near fevcnty Years ago, diligently obfwrved and enquired illtO the Phxnonlena of this Irregular Tide.
IV. 1Se 0e of a Tumor groxQttg on the Ir#2e of tbe Bladder, fiuccifally eszir- patedZ by Xofieph Warner, Ssrgeon to Guy's H^ofipital; coenmxnicatgd ir a Lenter to zhe Prefident.
Reac? MGY 10. }\ N ExcreSe:ence orTumorarifingfrotn 75° < thc internal Coat of the Bladdcr is
n lDifedre, tnoi Crh not serv comm :3n} ) et ltlffiCiCNtlS
Krion tO tac Curiotls: But 1 bclieve thJt litll rro,
ne one hac <;ttetu,p cd the Cure of tllis Diloldcrr Lav mxti 1 P at 0?) ) nor indeed call it be fu;>pofzdX that ti>+ e I >zaricWs ate frcquclltX 7 llere thc Operaticll is pr<o tivable. But ds it is Ilotorious froln tllc HlItol;, P;1J.ICk, unl Sur;,cr;T, that rcscral Dilordcrs xvi.i<.
\\r e r t w
* lI .. (:) ̂ oer w a isn * 5 were com ,;unicaert tn Sir FoGer + Xv DLf) *.a G, r tt a<A . ;2, ir. comL.i1 in} a S;otl>' Asia¢.
This content downloaded from 193.104.110.126 on Sat, 17 May 2014 19:49:28 PMAll use subject to JSTOR Terms and Conditions
r 4I5 ] were brmerly unobServed, have becn found to occur Scqucntly) after thcir Natllre has bccn oncc diSc:ovcrd, allel cxa>tly defcribcd, I flatter myfclfthc Publication of this Account may ponlbly throw fome Light on thz prefent Subjed.
M4ry Beva?, aged 23, on the 24th of Sne I 747> Ptra} ned herrelf btyt cndeaYOtlring to lift a grcat Wti^,'ut; lz was imenediatcy feizcd with vioent pain in thC Smlll d hcr Back, and a total Supr prsfilon of Urine; which Symptoms, notwithRand- ing thz fcverai Me.hods uSed fbr her Relief, con- tinued till the 2grh of the fanze Month; when an eminent Phyfician and Man midwife was callcd t43 her AfliPtancc ; w ho drew off her Urine with the Cathcter. During the Suppreffilon {he was feized with an acute Feves, and for I8 or 20 Hours bciore her Urine was drawn ofX (he diScizarged by the Mouth a great QMantity of faltiM Water tinged with Blood; wtlich) upon lyinr, dowll, flowed in fo greae Q!lantities at to treaten Suffcation.
In ril 1 750} {he applied to me: Upon Enquiry I learnt (he had never becn ablc, fiom the Momcnt of the Accident, tO void a D[GP of Urine vrtithOut the AQ1flcance of the Catheter nZhicn had bcen madc uSe af ever ftacc tsvo or three times every tszenty- follr FIours; that {te svas in continual Pain} and had becn latcly much sreakencd by having Ccveral titrses loft confiderablc %a.at tnes of 131Cvod) oc<aftoAled by the Force made u1c oc for te IntroduEtion of t'nat IllArumcnt. {Jpon examining her eJittn 11 y Fore fingcr, whictX I ilAtro4a<cd witla grsat DE<culty through the ld.a^vs US4;Sari¢> I diScorcred a con- fidwrab'e Tunaor} xi':*'rX fc*tsi<c'l to oW of a dle^ny Stubilaruce, and ;ovek iFs Life fto;<w th; tiNZ>r Par£ OLn
ade
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[ GI6 ] the Bladder near itS Neck j the Extent of which I could with Difficulty reach. She infbrmtd meX {hc firR diScourered this Ssvcllint, abotlt tsvcnty Monrhs beforc. I obScrvcd it to protrade a littlc way out of tlle Meattas Urin6lrigs- upon firailling to make Water hen the Bladder was full ; bllt, upon ceafa:, to Arain} it prC6Cntly rCtUrilCd.
It 11ad preiervcd pretty ncarly the fame Appearance evcr fince it was firit takcn noticc of; and about eightcen Months ago, a fmall Incifion xvas made into itX on Prefunsprion of its containing a Fluid, lout witllout any EffeEt.
The Method I took for the Extirpation of the Tumor was tllis: Having firE prepared her as before tlle Operarion for tlle Stone; when her lSladder was full, I made her firain as though -She was going tO
make \Mater, upon whicll I perceived the Tumor tO protrude a little; this I effcAually fccured from re- turrlin, into the Illadder by the Help of a crookcd N7ecdlc and Lit,ature paRed through the Tumor in different Dired:tions, and endcavouled to dra\v it cXut tlllougi tile Meatgs Urinars, but could not effeEt it by reaSoll of its Lar,cllcEs; fecing thls, I dilatcd tlle Megtgs Urinarigs on the rlghr Side by CUtt;I1g it upsrards about half way tox^ards tlle Neck, xvhcn by pulling the TUX11Qr forwards} I had fuffici- cllt room for tying a Ligature round its Batis, whicl x^7aS vcry bleoad.
For tllc three firk Days after the Operation, {hc cotnpinined of a ,ood deal of Pain in the Hdodamera.
011 tlle fixth i)ay, tlle Tumor dropL off From tize firlt of tlle Operation, t^nc t1osdcd hcr
IJrine without any Afll&ancc, and is now pcrSeSt]y \^7cl1 in evcry rcfipc2.
3 \t. Rea^frk
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