Excerpt from Traumatisms of the Urinary Tract
Case I. R. D., aged 11 years, came under my observation the loth of May, 1885. He was returning from school and was run over by a horse car, one wheel passing directly over his abdomen. Patient was taken home in a collapsed condition and remained so for several hours; he was paralyzed in the right lower extremity, and was unable to urinate. An examination was made and it was found that he was very tender in the area over the left kidney, and that the spinous process of the first lumbar vertebra was fractured; also the 11th and 12th ribs on the left side. There was very slight external evidence of an injury to the abdomen.
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