Pyoureter Seventeen Years After Nephrectomy

The occurrence of pyoureter many years after nephrectomy without complete removal of the corresponding ureter is not common. In the case here presented the clinical picture caused by pyoureter was characterized mainly by obscure fever of six weeks' duration. REPORT OF CASE History.— R. W., a woman aged 53 born in Russia had had rheumatic fever in childhood. A right mastoidectomy was performed thirty years before the present admission. An appendectomy was done five years later, followed in two weeks by a right ureterolithotomy. Eight years later a right nephrectomy for calculus pyonephrosis was performed at another hospital. For many years, until four years ago, the patient had attacks of cramping pain in the right upper quadrant of the abdomen brought on by food and relieved instantly by licorice powders. Eight years before this admission she was told that she had gallstones but refused operation. During the last seventeen