Gall-stones and diseases of the bile-ducts . ers the gall-bladder, but itbecomes filled with mucus and slowly enlarges, andmay become big enough to be obvious on clinicalexamination. In typical examples of this condition(hydrops vesicas fellese) the gall-bladder is a thin,translucent, pyriform bag, and the calculi it containsconsist usually of almost pure cholesterin and floatfreely about in the thin mucus. A gall-bladderenlarging in this way usually has attached to it atriangular and colourless process of the adjacenthepatic tissue. In other specimens the mucus of the gall-bladdermay be so in


Gall-stones and diseases of the bile-ducts . ers the gall-bladder, but itbecomes filled with mucus and slowly enlarges, andmay become big enough to be obvious on clinicalexamination. In typical examples of this condition(hydrops vesicas fellese) the gall-bladder is a thin,translucent, pyriform bag, and the calculi it containsconsist usually of almost pure cholesterin and floatfreely about in the thin mucus. A gall-bladderenlarging in this way usually has attached to it atriangular and colourless process of the adjacenthepatic tissue. In other specimens the mucus of the gall-bladdermay be so inspissated that the gall-stones areimbedded in it as if it were a mere stiff paste(Fig. 22). Mayo Robson found the mucus in acalculous gall-bladder equal in consistence to jelly,and he removed it entire ; the mucus being trans-parent, this cast of the gall-bladder with the stones CONSEQUENCES OF GALL-STONES 63 in position resembles what a cook would call gall-stones in aspic (Fig. 23). In such conditions the walls of the gall-bladderFig.


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