File:Journal of anatomy (1867) (14784178832).jpg

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Identifier: journalofanatomy51anatuoft (find matches)
Title: Journal of anatomy
Year: 1867 (1860s)
Authors: Anatomical Society of Great Britain and Ireland Anatomical Society of Great Britain and Ireland. Proceedings
Subjects: Anatomy
Publisher: Cambridge (Eng., etc.) University Press
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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ternalform, there were no indications that the parts of either kidney correspond-ing to a ureter had ever been separate from one another. The renal ducts passed from their upper ramifications (to which I shallagain refer) downwards parallel to one another. On each side they had the course and relations presented by the normalsingle ureter. In the abdomen, and in the upper part of their intra-pelvic course,although lying close together, they could readily be separated from oneanother, and their coats were distinct. But in relation to the ductusdeferens they became firmly welded together, so that even with the aid of aknife it was extremely difficult to indicate the line of separation between thetwo tubes. Indeed (see fig. 1), immediately before (on the right side) andafter (on the left side) crossing the ductus deferens, the ducts were appar-ently fused into a single thick-walled tube, circular as seen in transverse Renal pyramid PapilU(a) Bilateral Duplication of the Ureter 31 Calyces
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Peritoneum which adhera<to from o( rectum Ligamentumumbilicale laterala Cix wall of bladder Plica ureterica Orificium urellira internum Fig. 1.—The kidneys are represented as lying lower than was the case. Tlie bladder is viewedfrom above and slightly from in front. A indicates the ai)()arently single portion of the rightducts. The whole of the convex border of the lecto-vesical fold of peritoneum adlieres to therectum, so that the fold is purely rectal. One-half actual size. 32 I\rr Douglas G. Reid section. Unless the interior of the bladder had been carefully examined,the fact that the lumen of each duct remained distinct might readily havebeen overlooked. As is usual, the ureter which drained the urine from theupper part of the kidney opened medial (more so on the left side, see fig. 1)to the opening of the ureter from the lower part. For this reason it ismore subject to compression (Riesman, Hektoen-Riesmans Pathology,1901). The bladder was small and contracted. The medial op

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51
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30 July 2014



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