. Annals of surgery . ath. Figure i shows very clearly a gall-bladder whicli may be considerednormal. In it, one can see that the villi are thin with a small amount of stromaand contain long coluiiinal epithelial cells. The submucosa contains numerous r,i,-) FRKDEKIC \V. BANCROFT l_iphatics and areolar tissue; the iiiiiscularis is nut well dexeluped and con-tains numerous blood-vessels and lymphatics. There is no infiltration orclustering of round cells. In studying the sections removed at operation, wehave been impressed with the fact that there are apparently two types oflesions noticed. Fir
. Annals of surgery . ath. Figure i shows very clearly a gall-bladder whicli may be considerednormal. In it, one can see that the villi are thin with a small amount of stromaand contain long coluiiinal epithelial cells. The submucosa contains numerous r,i,-) FRKDEKIC \V. BANCROFT l_iphatics and areolar tissue; the iiiiiscularis is nut well dexeluped and con-tains numerous blood-vessels and lymphatics. There is no infiltration orclustering of round cells. In studying the sections removed at operation, wehave been impressed with the fact that there are apparently two types oflesions noticed. First, cases where the mucosa and villi are relatively normalbut where there is thickening of the sulimucosa and areas of round cell infil-tration in the muscularis and suhnuicdsa. In many places the lymphatics seem ^^-^ . f»« *^ ? \ .r?^ ??; ^ ? - •is?** ?. Fig. 9.—Strawberry gall-bladder, one year duration. Thickened knob-like villi with oedemaand ulceration of the tips. Cholecystectomy. Good result. distended with small round cells. In the second type, we find coarsely shapedvilli often with ulceration of the tips accompanied with scar-tissue formationand round-celled infiltration. The latter type is the so-called strawberrygall-bladder and often shows lipoid deposits in the villi. Professor William Boyd studied loo gall-bladders removed at found that there was an ester of cholesterol formed in the mucosa of thegall-bladder. When this formation is so marked in degree that the lipoidbecomes visible to the naked eye, it is usually called a strawberry gall-bladder. He found on chemical analysis that a normal gall-bladder contained cent, cholesterol by weight, while the strawberry gall-bladder contained in CHRONIC CHOLECYSTITIS WITHOUT STOKE tlie region of 50 per cent, cholesterol by weiglit. By staining methods in m
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
