Transactions of the American Association of Obstetricians and Gynecologists for the year ... . ystic duct nearbase by strong band across duodenum to gastrocolic omentum. Thisband not only angulated duct, but rotated gall-bladder and kinkedlarge gut when traction was made on transverse colon, as in uprightposture. Gall-bladder removed, no stones. Bands corrected. Allraw surfaces covered. Condition of patient was such that it wasjudged wise to attend only to right upper quadrant. 312 WILLIAM SEAMAN BAINBRIDGE, Pathological Report.—Chronic inflammation of gall sac. Subsequent History.—In February
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . ystic duct nearbase by strong band across duodenum to gastrocolic omentum. Thisband not only angulated duct, but rotated gall-bladder and kinkedlarge gut when traction was made on transverse colon, as in uprightposture. Gall-bladder removed, no stones. Bands corrected. Allraw surfaces covered. Condition of patient was such that it wasjudged wise to attend only to right upper quadrant. 312 WILLIAM SEAMAN BAINBRIDGE, Pathological Report.—Chronic inflammation of gall sac. Subsequent History.—In February 1917, after an uneventfulconvalescence returned to work seemingly perfectly well. Lost sightof at end of 1917, when she was reported by Dr. Hayes as in excellentcondition. Case VIII.—C. F., aged sixty; female; married. Referredby Dr. C. P. Faller, Carlisle, Pa. First seen April 27, 1917. Previous Personal History.—For seven years off and on discomfortin right upper abdominal quadrant. Marked constipation. Hem-orrhoids. Intestinal toxemia. Typical gall stone attack Decem-ber, Fig. 13.—1. Gall-bladder with seventy-five stones; kinked at base by bandover duodenum to region of cystic duct. Band attached to mass of adhesionsand situated around fundus of gall-bladder. 2. Mass of adhesions. 3. Fundusof gall-bladder. (The mass of adhesions around the gall-bladder was distinct,although attached to the single band at the base of cystic duct.) Physical Examination.—Distinct tenderness over gall-bladder anddescending duodenum. Some tenderness over ileum and last X-ray Examination.—Pathological gall-bladder with peri-cholecystitic adhesions, the probable presence of gall stones, and atender, partially fixed, stiffened cecum from adhesions which maybe the result of a chronic appendicitis. Operation.—Polyclinic Hospital, New York, May 8, 1917. Laparotomy.—Conditions found as shown in drawing kinked, chronically inflammed and underhung, caus
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