THE MEDICO-LEGAL ASPECTS OF STONE IN THE BLADDER, IN THE JOREHAUT UPPER ASSAM.
DISTRICT, By
Charles
Forbes,
District Medical
Officer, Jorehaut.
Stone in the bladder is not a this district, and its treatment is
performed only Dr.
by
once
particularly refer. (ret. 40, lithotomy) the fragcalculus weighed 1,200 grains, and the some three weeks after the operation
the
died
patient from
has been
remarks
lateral
own case
ments of
lithotomy
times, viz., by Dr. Elliot at times, by myself once at Cinnemara, Strange at Rungajaun. It is to the
two latter cases that my
In my
still.
seven
Noakacharee five and
affection in
common rarer
the past seven years
During
c.m.,
m.b.,
pyelitis.
I took little note at the time of the fact that the stone was
in
pieces,
when
operated
thought it accurately together I
though
on,
curious that the pieces fitted after removal.
Strange's case,?at which I assisted?the bladder examined per rectum felt like a bag of pebbles, and by the suprapubic operation some twenty sharp fragments were removed. This case did well In Dr.
ultimately. What In a
was
the
surgical
cause
of the fracture ?
text-books it is asserted that fracture of
calculus sometimes and in
bladder; pelled against my better planation for want of Medical Cran late
Gazette for
gives
the
spontaneously in the (my own) I was comjudgment to accept this ex-
occurs
the first
case
1881
Dr.
clue.
several Assamese
In
better.
a
March
Cran
have died
Indian
the
letter
a
of
by Dr. writes,?" Of this disease,
peculiar operation, which I shall describe, as showing the advanced stage of The priest surgery to which they have attained. his raised well the on the back, patient having placed
one
of them after
a
most
anterior wall of the abdomen, placed a stone on one side of it, and belaboured the other with a second stone, desisting when the calculus was supposed to The patient died a few days after the be crushed.
operation." Should I
prefer to the
meet with a
similar
suprapubic operation, bladder can hardly make
the
In the second
case
the
mucous
in tatters and the colour of
serious
case
surgical injuries
raw
for
again, one
I should
wound
matters much
membrane beef.
was
more
worse-
literally
It shows what
children may sustain, and
?J-/ September, 1884.] still survive. cases
being
is,
put Gohain.
My motive in giving publicity
to
these
ultimately to some check the primitive lithotrity of the Jorehaut
that it may lead on
A MIRROR OF HOSPITAL PRACTICE.
261