Gall-stones and diseases of the bile-ducts . Fig. 34.—Portion of the liver, with the gall-bladder, pyloricsection of the stomach, and duodenum. The gall-bladdercommunicates with the duodeniun by an opening which allowedthe gall-stone in the preceding figure to enter the duodenum. me very probable that this is a common order to show the intimate relation of the gall-bladder to the first segment of the duodenum I have 102 DISEASES OF THE BILE-DUCTS introduced Symingtons excellent drawing (Fig. 35),which demonstrates the relationship in an accurateand artistic manner. This drawing al
Gall-stones and diseases of the bile-ducts . Fig. 34.—Portion of the liver, with the gall-bladder, pyloricsection of the stomach, and duodenum. The gall-bladdercommunicates with the duodeniun by an opening which allowedthe gall-stone in the preceding figure to enter the duodenum. me very probable that this is a common order to show the intimate relation of the gall-bladder to the first segment of the duodenum I have 102 DISEASES OF THE BILE-DUCTS introduced Symingtons excellent drawing (Fig. 35),which demonstrates the relationship in an accurateand artistic manner. This drawing also shows thepropinquity of pylorus and gall-bladder, and helpsto explain, not only the frequent occurrence of vonrit-. Fig. 35.—Coronal section of a part of the thorax and abdomenof a female infant (aged twenty-two months), showing therelation of liver, gall-bladder, duodenum, and stomach (afterSymington). ing when the gall-bladder is distended as a sequenceof calculi in its cystic duct, but also those rare casesin which the pylorus is obstructed by the presenceof gall-stones in the gall-bladder. In the remark-able case recorded by JSTaunyn, in which a gall-stone as large as a gooses egg occupied the gall- GALL-STONE ILEUS 103 bladder, an ulcerated opening was found in theduodenum just below the pylorus, communicatingwith the gall-stone. During life the stomach wasso distended that it reached to the symphysis of pyloric stenosis due to gall-stones have beenreported by several observers, and in nearly all ofthem the trouble was supposed, during life, to dependon cancer of the pylorus. The causes of death in intestinal obstruction fromgall-stones is exhaustion from the incessant vomitingan
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