Intended for healthcare professionals


A good surgeon should know when to abandon a procedure

BMJ 2006; 332 doi: (Published 08 June 2006) Cite this as: BMJ 2006;332:1390
  1. Anuruddha M Abeygunasekera (, urological surgeon
  1. Karapitiya Teaching Hospital, Galle, Sri Lanka

    In my early days as a consultant I saw a patient with left upper abdominal pain and a lump in the loin. Abdominal ultrasonography in the 38 year old widow revealed a grossly hydronephrotic left kidney and a right pelvic kidney. An intravenous urogram showed some functioning renal tissue in the region of the upper sacrum corresponding to the pelvic kidney. The left kidney was not visualised. An isotope …

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