. Annals of surgery . Fig. II.—Same case as shoivn in Fig. lo. Xumerous round cells seen in submucosa andmuscularis. Cholecystectomy. Good result. and it is jjossible that one of the several substances absorbed is the cholesterolof bile. Second, the deposit of cholesterol ester in the mucosa of the gall-bladder is an important feature in early cases of cholecystitis. Third, thesedeposits occur in the surface epithelium, in the connective tissue and possiblyin the lymphatics. Fourth, in some cases at least the first step in the develop-ment of gall-stones may consist in this formation of choles
. Annals of surgery . Fig. II.—Same case as shoivn in Fig. lo. Xumerous round cells seen in submucosa andmuscularis. Cholecystectomy. Good result. and it is jjossible that one of the several substances absorbed is the cholesterolof bile. Second, the deposit of cholesterol ester in the mucosa of the gall-bladder is an important feature in early cases of cholecystitis. Third, thesedeposits occur in the surface epithelium, in the connective tissue and possiblyin the lymphatics. Fourth, in some cases at least the first step in the develop-ment of gall-stones may consist in this formation of cholesterol deposits. CONCLUSION \\e have assumed that the cases of round-celled infiltration in the sub-mucosa and muscularis may be due to a lym])hangitis secondary to liverlesions, while the strawberry gall-bladder type may be the precursor of stone 618 CHRONIC CHOLECYSTITIS WITHOUT STONE and may be primarily due to infection through the lumen of the is possible that these two pathological types may be
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
