A CASE OF POLLAKIURIA IMMEDIATELY RELIEVED 
BY EXTERNAL LIBERATION OF THE PELVIC AND 
ILIAC PORTIONS OF THE URETER 
By Dr. José EDUQUE 
SIX PLATES 
The case I am reporting this morning is that of a Filipina 
woman, 27 years old, housewife, a native of San Pablo, Laguna 
Province, and now residing at No. 114 Calle Loreto, Sampaloc 
District, who came to the hospital complaining of frequent trou- 
blesome urination and of a dull pain in the lumbar region, espe- 
cially at the left loin. 
Past history.—Measles and chickenpox when a child. 
Marital and obstetrical histories—Married in 1909. Had 
three successive abortions in 1910, 1911, and 1912, and was 
operated for hysteropexy in 1912 on account of improper posi- 
tion of the uterus. After the operation she was normally de- 
livered of a full-term baby which ‘is now living and well. 
Present illness.—The present trouble may be said to date back 
to one year ago, when the patient had frequent attacks of pain 
in the back, of a dull and intermittent character, especially felt 
in the left side, and which radiated in several directions, some- 
times upward, at other times to the anterior part of the chest, 
occasionally downward to the sacral region, and many times 
she felt it going toward the abdomen and bladder regions. She 
never recollected that these pains were so severe as necessarily 
to keep her in bed. The pain was never accompanied by nausea 
or vomiting, although there was frequent anorexia. The patient 
states that from the time of onset of the ailment up to the time 
of her admission to the Philippine General Hospital, she had 
noticed a slow but steady loss in weight. She also noticed irreg- 
ular rise of temperature and frequent need of urinating, the 
urine in every instance being scanty and, though micturition 
was not particularly painful, she felt uneasy and obliged to 
empty her bladder despite the fact that she voided no more than 
two to three tablespoonfuls of urine at one time. This desire 
for frequent micturition was especially troublesome at night 
when at rest, and frequently kept her awake or disturbed her 
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