. Diseases of the gall-bladder and bile-ducts, including gall-stones . h 6 >< u 03 3 z £ o § s Ih o nl U § neck, the calibre of which would admit a long probe such asis used in exploring the ducts. He adds : I cannot advancean opinion as to whether this condition of gall-bladder wascongenital or due to ulceration. A NA TOMICA L CONSIDER A TIONS 17 A curious malformation is seen in specimen No. 1,391 inGuys Museum, in which the gall-bladder is dilated andturned to the left, forming an ovoid tumour 3 inches long,. Fig. 3.—-Obliteration of Gall-bladder and Common Duct, theResult of Gall-sto
. Diseases of the gall-bladder and bile-ducts, including gall-stones . h 6 >< u 03 3 z £ o § s Ih o nl U § neck, the calibre of which would admit a long probe such asis used in exploring the ducts. He adds : I cannot advancean opinion as to whether this condition of gall-bladder wascongenital or due to ulceration. A NA TOMICA L CONSIDER A TIONS 17 A curious malformation is seen in specimen No. 1,391 inGuys Museum, in which the gall-bladder is dilated andturned to the left, forming an ovoid tumour 3 inches long,. Fig. 3.—-Obliteration of Gall-bladder and Common Duct, theResult of Gall-stone Irritation. (No. 1,391, College of Surgeons Museum.) parallel with and projecting beyond the anterior edge of theliver. Rarely the gall-bladder is partly divided longitudinally,and it is said that occasionally there are hepato-cystic ducts,and that the right and left divisions of the hepatic duct 2 18 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS continue separate for some distance within the gastro-hepaticomentum. The accompanying drawing is taken from a specimen of abifid gall-bladder of a sheep presented by Dr. Beatson ofGlasgow. In the Annals of Surgery for May, 1899, is related a casein which there was transposition of viscera, and as thepatient was the subject of gall-stones, cholecystotomy wassuccessfully performed on the left side. CROSS SECTION^
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