. Diseases of the gall-bladder and bile-ducts, including gall-stones . terotomy for acute intestinal obstruction depen-dent on a gall-stone impacted in the jejunum, the patient—awoman of sixty—being now well. She had been subject tobiliary colic for several years. Her symptoms were veryacute, and had persisted for three days. The case was brieflynoted in the Pathological Transactions for 1895, but has notbeen elsewhere reported. Mr. Lund reported a case* in which he had successfullyremoved a large concretion by enterotomy. The interesting* Lancet, July 11, 1896. INTESTINAL OBSTRUCTION 99 point
. Diseases of the gall-bladder and bile-ducts, including gall-stones . terotomy for acute intestinal obstruction depen-dent on a gall-stone impacted in the jejunum, the patient—awoman of sixty—being now well. She had been subject tobiliary colic for several years. Her symptoms were veryacute, and had persisted for three days. The case was brieflynoted in the Pathological Transactions for 1895, but has notbeen elsewhere reported. Mr. Lund reported a case* in which he had successfullyremoved a large concretion by enterotomy. The interesting* Lancet, July 11, 1896. INTESTINAL OBSTRUCTION 99 points in this case are that there never had been any previoushistory of jaundice or colic, nor recollection of feeling of un-easiness in the region of the gall-bladder. The obstructionwas caused by a gall-stone fixed in the ileum, and lying nearthe brim of the pelvis. The measurements of the gall-stone,which was the shape of the gall-bladder, were: Long diameter,if inches ; transverse diameter, I inch ; longitudinal circum-ference, 4j inches ; transverse, 3^ Fig. 26.—Large Gall-stone producing Acute Intestinal Obstructionsuccessfully removed by abdominal section. (No. 2,436a, Royal College of Surgeons Museum.) Dr. Everley Taylor reported a successful operation in theLancet, and the very large gall-stone removed is in the Hun-terian Museum, No. 2,436a (Fig. 26). It is astonishing how few unsuccessful cases are reported,yet we know that the mortality of these operations has beenconsiderable. The following case,* reported by Dr. Kinneir,of Horsham, is therefore worth noting as an exception. Mrs. B., aged fifty-seven, was taken with sudden abdominalpain, followed by sickness, on January 14. On the following * British Medici! Journal, March 9, 1895. 7—2 ioo DISEASES OF THE GALL-BLADDER AND BILE-DUCTS morning she passed two loose motions. The sickness con-tinued, and stercoraceous vomiting commenced on January Kinneir was called in to see the patient on January 20
Size: 1270px × 1967px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyorkwilliamwood
