. Diseases of the gall-bladder and bile-ducts, including gall-stones . ndduring this time the stools were clay-coloured. He was sickoccasionally during this time, and the abdomen remainedswollen. On admission to the infirmary for the second timea great change was evident in the boy. He had lost a greatdeal of flesh ; the abdomen was full of fluid of some kind, butwas not tender. The temperature was 98°, and the pulsewas no. The tongue was furred ; there was no jaundice,neither was bile present in the urine ; the stools were clay-coloured. The temperature remained normal during thesecond twenty
. Diseases of the gall-bladder and bile-ducts, including gall-stones . ndduring this time the stools were clay-coloured. He was sickoccasionally during this time, and the abdomen remainedswollen. On admission to the infirmary for the second timea great change was evident in the boy. He had lost a greatdeal of flesh ; the abdomen was full of fluid of some kind, butwas not tender. The temperature was 98°, and the pulsewas no. The tongue was furred ; there was no jaundice,neither was bile present in the urine ; the stools were clay-coloured. The temperature remained normal during thesecond twenty-four hours after admission. On the third daythe abdomen was opened in the middle line above theumbilicus by an incision 2 inches long. Nearly 5 pints IN FLA MM A TOR Y A FFECTIONS 7i of fluid escaped. This fluid, which was deeply bile-stained,was in the general peritoneal cavity, and not in any waylimited by adhesions. The coils of intestine in the neigh-bourhood of the liver were matted together with gall-bladder was empty and was thought on digital ex-. Fig. 20. -Wound of Gall-bladder. Taken from a boy of fifteen, whofell from a load of straw on to apitchfork. Death from perito-nitis on sixth day. (No. 2,268a,St. Bartholomews Museum.)
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