Gall-stones and diseases of the bile-ducts . Figs. 45 and 46.—Diagrams to show a linguiform lobe of theliver associated with an enlargement of the gall-bladder(after Riedel). from the pedunculated processes sometimes foundalong the free margin of the liver in women, andusually attributed to tight lacing. Riedel points out that when a patient has sym-ptoms of cholecystitis, or attacks of biliary colic, thepresence of a linguiform process of liver points to anunderlying enlarged gall-bladder (Figs. 45 and 46). DIAGNOSIS 161 Adventitious lobes of the liver occur independentlyof diseases of the ga
Gall-stones and diseases of the bile-ducts . Figs. 45 and 46.—Diagrams to show a linguiform lobe of theliver associated with an enlargement of the gall-bladder(after Riedel). from the pedunculated processes sometimes foundalong the free margin of the liver in women, andusually attributed to tight lacing. Riedel points out that when a patient has sym-ptoms of cholecystitis, or attacks of biliary colic, thepresence of a linguiform process of liver points to anunderlying enlarged gall-bladder (Figs. 45 and 46). DIAGNOSIS 161 Adventitious lobes of the liver occur independentlyof diseases of the gall-bladder or tight lacing/ andwhen large they are sometimes very puzzling and aptto be mistaken for a movable kidney, renal cyst, ora tumour. It is also certain that when a linguiform lobe isdue to acute cholecystitis and the gall-bladder isremoved (cholecystectomy) this local enlargementof the liver subsides and the lobe disappears. When a gall-bladder has been the seat of an acutecholecystitis and the inflammatory products escapeeither
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Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyorkwilliamwood
