. Annals of surgery . -Rontgenogram sho I large gall- CALCAREOUS GALL-BLADDER WALL ment regarding stones revealed by the X-ray that Had the friable bilirubincalcium stones found at operation been in the form of sand they would haveoutlined the gall-bladder. Cole, on the other hand, writes that calcareous deposits in the wall of thegall-bladder in cases where the organ contains debris and thickened, inspissatedbile, is not an uncommon occurrence, but I do not recollect having observedcalcifications of the wall of a gall-bladder containing approximatclvnonnal bile. Roberts, in a personal communi
. Annals of surgery . -Rontgenogram sho I large gall- CALCAREOUS GALL-BLADDER WALL ment regarding stones revealed by the X-ray that Had the friable bilirubincalcium stones found at operation been in the form of sand they would haveoutlined the gall-bladder. Cole, on the other hand, writes that calcareous deposits in the wall of thegall-bladder in cases where the organ contains debris and thickened, inspissatedbile, is not an uncommon occurrence, but I do not recollect having observedcalcifications of the wall of a gall-bladder containing approximatclvnonnal bile. Roberts, in a personal communication, notes that he has observedcalcareous deposits in the gall-bladder wall but only on a few can conceive of no way in which such deposits could, with anycertainty. Iw diflFerentiated from calculi lying free within the Fig. 2.—Excised gall-bladder showing thickness ui the calcareous wall and the mortar-like mass within the organ. Stewart would not venture to say that we have ever been able to distinguishcalcareous deposits in the wall of the gall-bladder from ordinary have had one or two cases that showed large stones and then some smallerdeposits which I felt were incrustations in the mucous membrane. have never been able to make a diagnosis of calcareous masses in the writes, We have .seen calcification in the gall-bladder wall occasion-ally though we never recognized the fact that it was definite calcification ofthe wall rather than stones until after the operation. In one or two instanceswe have found shadows which were not typical of gall-stones, and whichproved to be calcification of the wall, so that the surgeon would have to scrapeoff the calcified material with a curette or spoon. In other instances we foundimpacted bile. I dont know as it makes a gre
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
