. Annals of surgery. Fig. 3.—The pouch described shown by drawing liverupward. X ^^ ^^ figures marks points fordrainage. to gall-Stone formation. Though gall-stones are frequently foundin the smaller ducts, it does not follow that they are formed is not difficult to believe that they are carried and deposited bya back flow of bile, which must be of common occurrence in thecomplicated biliary circulation. Symptoms.—There can be no doubt but that gall-stones arefrequently present in the gall-bladder, without causing symptoms ON GALL-STONES. 195 that something more than the mere presence
. Annals of surgery. Fig. 3.—The pouch described shown by drawing liverupward. X ^^ ^^ figures marks points fordrainage. to gall-Stone formation. Though gall-stones are frequently foundin the smaller ducts, it does not follow that they are formed is not difficult to believe that they are carried and deposited bya back flow of bile, which must be of common occurrence in thecomplicated biliary circulation. Symptoms.—There can be no doubt but that gall-stones arefrequently present in the gall-bladder, without causing symptoms ON GALL-STONES. 195 that something more than the mere presence of the stones isnecessary to excite an attack of coHc. The same is true of urinary calcuH. A renal or a vesicalcalculus (especially oxalate of lime) may be present for years. Fig. 4.—Vertical mesial section. Showing barrierbelow and internally formed by ascendingmeso-colon. without producing symptoms, and large urinary calculi have beenfound post mortem, which have called for no attention duringlife. I have in my possession an oxalate stone the size of a ban- 196 RUTHERFORD MORISON. tarns ^^^ taken post mortem from the body of a nervous hypo-chondriacal man, who complained of no urinary troubles duringlife, and it is no uncommon thing for surgeons to find duringoperations a large stone in the bladder, which must have takenyears to form, but has only caused symptoms for weeks. An attack of pyelitis or cystitis is often the first evidence ofa urinary calculus. Is not a similar explanation true of biliary calculi ?Pain is the most frequent symptom in gall-stone attacks, andhaving often sought for an explanation of it without any satisfac-tion, even the lesser one of seeing an attempt made to suggest acause for it, I am forced to draw my own conclusions. It
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
