Ureteral Stone of Unusual Size

N. K. H., a man, aged 78, married, father of two children, who had never been seriously sick and who had been employed as a watchman for ten years, was helpless when I saw him, Oct. 18, 1923, and bedridden with excruciating pain, which was referred to the right iliosacral area. He had been in this condition night and day for three weeks. Three years before, he had been struck in the small of the back by an automobile, since which time he had been having recurrent attacks of lame back. The last attack of lame back, which completely disabled him, followed the lifting of a bucket of ashes weighing about 40 pounds. There was no history of genito-urinary disturbance, save the fact that he had passed two stones, by the urethra, during the last twelve years, but had never been under medical attention for trouble referred to the bladder,