. Annals of surgery . these havehad no return symptoms at our Follow-up Ginic. Three were tests ujKinmedical cases with no biliary symptoms. One was on a case of last test designated normal was on a middle-aged fat woman who clinicallywas typically a gall-stone case and was operated on for stones. A perforatinggastric ulcer was found at ojieration; the gall-bladder, though covered withadhesions, was essentially negative. In conclusion, we believe that although the Lyons test is not of the utmostimportance in the differential diagnosis of biliary pathology, yet considerableimporta
. Annals of surgery . these havehad no return symptoms at our Follow-up Ginic. Three were tests ujKinmedical cases with no biliary symptoms. One was on a case of last test designated normal was on a middle-aged fat woman who clinicallywas typically a gall-stone case and was operated on for stones. A perforatinggastric ulcer was found at ojieration; the gall-bladder, though covered withadhesions, was essentially negative. In conclusion, we believe that although the Lyons test is not of the utmostimportance in the differential diagnosis of biliary pathology, yet considerableimportant information may be gained from its use. 60: CHRONIC CHOLECYSTITIS WITHOIT STONE By Frederic W. Banchoit, ). OK New York, \.Y. Although much has been written on cholecystitis, many of us are at aloss to know in certain cases whether this is a real clinical entitv. If it is,how are we to diagnose the condition, and having made the diagnosis,are we justified in performing a cholecystectcmiy ? I refer to the type of. -Normal gall-bladdc oved at autopsy of traumaticelongated villi; no round culls ii afte case coming to the h(iS])ital with a history of repeated attacks of jiain in theright ui)i>er quadrant which often radiate to the right shoulder-blade. Thereis (iften a history of vomiting and sour eructations. The attacks, however, arenot as severe as those of colic due to the cystic obstruction. Physical examination reveals as a rule a definite area df tenderness in thereginn of the gall-bladder. The leukocyte count is usually normal. If, atoperation, the wall is definitely thickened and there are numerous adhesions 608 CHRONIC CHOLECYSTITIS WITHOUT STONE about the gall-bladder, one feels justified in performing a , however, the gall-bladder is found free from adhesions. It emptieson pressure rather slowly, and the wall feels slightly thicker than may be areas of subperitoneal fat deposit as described b\- Deaver andWilly Meyer. If on
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
