. Diseases of the gall-bladder and bile-ducts, including gall-stones . ment. Catarrh of the bile-ducts probably always accompaniesjaundice from whatever cause, and, as Dr. Moxon haspointed out, a colourless mucus is always found in the bile-ducts when an obstruction in the common duct is search through the pathological records of Guys Hospitalfor twenty years failed to discover any exception to thisrule. When the obstruction is only partial, the mucus maybe well charged with bile, as the backward pressure is notsufficient to stop the secretion and pouring out of bile intothe ducts.
. Diseases of the gall-bladder and bile-ducts, including gall-stones . ment. Catarrh of the bile-ducts probably always accompaniesjaundice from whatever cause, and, as Dr. Moxon haspointed out, a colourless mucus is always found in the bile-ducts when an obstruction in the common duct is search through the pathological records of Guys Hospitalfor twenty years failed to discover any exception to thisrule. When the obstruction is only partial, the mucus maybe well charged with bile, as the backward pressure is notsufficient to stop the secretion and pouring out of bile intothe ducts. Specimen 1,420 in Guys Museum shows dilated bile-ductsin the liver holding a pint of clear mucus (Fig. 10). There IN FLA MM A TOR Y A FFECTIONS 27 was a small cancerous growth in the common duct. Case 35is a good example of a similar condition, but in it theobstruction was due to gall-stones. As a concomitant of cancer of the liver or of the bile-ducts, chronic catarrh is common, and is frequently the causeof the accompanying icterus. This accounts for the relief to. Fig. 10.—Chronic Catarrh with Dilatation of Bile-ducts in Liver,dependent on small cancerous growth in common duct. (No. 1,420, Guys Museum.) the jaundice afforded by treatment in a necessarily fataldisease ; whereas, when the jaundice is simply dependenton the mechanical pressure of the growth in the ducts, itwill be only slightly, or not at all, influenced by remedies. The same remarks apply to hydatid disease, to abscess, andto other organic diseases of the liver. 28 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS Cases 152, 157, and i6t are good examples of chroniccatarrhal jaundice produced by the irritation of hydatid cystsin the liver, the catarrh and its accompaniment (jaundice)being cured by the removal of the cause. Gall-stones are probably always accompanied by catarrh,giving rise to the formation of thick ropy mucus, whichleads to attacks of pain when passing, and it seems notunlikely that some of the min
Size: 1349px × 1851px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyorkwilliamwood
