. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 1.(No. 1,390, Guys Museum. no doubt, this condition arises from contraction of an oldulcer, but in others, as in Case 55, the mucous membranebeing smooth and showing no evidence of cicatrization, thedeformity appears to be congenital. Dr. Pilcher has describeda case belonging to the latter category, and another hasrecently been published by Dr. H. C. Donald, of Paisley, inwhich the gall-bladder was found to be thickened and con-tracted, being firmly adherent to, and tucked up to, theunder surface of the liver. It was d
. Diseases of the gall-bladder and bile-ducts, including gall-stones . Fig. 1.(No. 1,390, Guys Museum. no doubt, this condition arises from contraction of an oldulcer, but in others, as in Case 55, the mucous membranebeing smooth and showing no evidence of cicatrization, thedeformity appears to be congenital. Dr. Pilcher has describeda case belonging to the latter category, and another hasrecently been published by Dr. H. C. Donald, of Paisley, inwhich the gall-bladder was found to be thickened and con-tracted, being firmly adherent to, and tucked up to, theunder surface of the liver. It was distinctly hour-glass in 16 DISEASES OE THE GALL-BLADDER AND BILE-DUCTS character, and contained a thick, clear, and glairy calculi were removed from the proximal part of thegall-bladder, which was separated from the distal by a narrow. 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,
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