. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 29.—Large Single Calculusfilling the gall-bladder. (No. 2,819, Hunterian Museum.) Fig. 30.—Calcification ofGall-bladder. (No. 2808A, Royal Collegeof Surgeons Museum.) from the retained mucus will follow. As many as 720 gall-stones were removed from the gall-bladder in Case 107, andyet that gall-bladder could not be felt as a distinct a large single gall-stone may form a hardperceptible swelling below the liver, as in Case 252, butsuch is very rare (Fig. 29). Calcified gall-bladder, which is due to c
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 29.—Large Single Calculusfilling the gall-bladder. (No. 2,819, Hunterian Museum.) Fig. 30.—Calcification ofGall-bladder. (No. 2808A, Royal Collegeof Surgeons Museum.) from the retained mucus will follow. As many as 720 gall-stones were removed from the gall-bladder in Case 107, andyet that gall-bladder could not be felt as a distinct a large single gall-stone may form a hardperceptible swelling below the liver, as in Case 252, butsuch is very rare (Fig. 29). Calcified gall-bladder, which is due to cholelithic catarrh,may lead to the formation of a hard, rounded, painless TUMOURS OF THE GALL-BLADDER AND BILE-DUCTS 113 tumour, and this is evidently not very uncommon, if we may judge of its frequency by specimens in the museums (Fig. 30). Specimens Nos. 2,808 and 2,8o8a in the Royal College of. Fig. 31. — ContractedGall-bladder withHypertrophy ofWalls, due to Gall-stone Irritation. (No. 2,807, Royal Collegeof Surgeons Museum.) Fig. 32. — Hypertrophy and Dilatationof Gall-bladder, with Pouches formedby the mucous membrane bulgingbetween the muscular fasciculi. (No. 2,804, Royal College of SurgeonsMuseum.) Surgeons Museum are good examples, as also are No. 1,402in Guys, and No. 1,590 in the Middlesex Museums. The last specimen is interesting in that it was removedfrom a woman of nearly seventy, and contained bile and oneconcretion. H4 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS Hydrops and dropsy of the gall-bladder are terms used todenote distension of the gall-bladder by mucus. It mayresult from any obstruction in the cystic or common ducts,whether due to gall-stones, stricture, or growth in the ducts,or to cancer of the head of the pancreas, provided that thegall-bladder has not atrophied as the result of previous gall-stone irritation. It is due to the gradual accumula
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