The infrequency of spontaneous rupture of the kidney, only about thirty cases being recorded, and its seriousness without early surgical intervention, lead me to make this report of two cases. The fact that the patients were admitted to medical services and were kept under observation for some time before being transferred for surgical treatment is evidence that the condition is also of importance to internists.
REPORT OF CASES
—J. S., man, aged 27, admitted, Dec. 26, 1916, to the service of Dr. Roger T. Vaughan, with a diagnosis of lumbago, gave a history of pain over both kidneys for three weeks, increasing each day, and with exacerbations every ten to twenty minutes, so acute as to cause writhing and groaning. There was no vomiting nor nausea, and the pain did not radiate.For five months, and ending four months previous to admittance, he had been employed in