Gall-stones and diseases of the bile-ducts . age of three years,and it continued • until she was nineteen years ofage. She was operated upon by Treves, who foundthe gall-bladder distended with mucus, faintly tingedwith bile; the common duct was not half an inch inlength, impervious, and ended as a fibrous was successfully carried months after the operation the skin was slightlyjaundiced. A similar explanation probably applies to a casereported by Edgeworth. His patient was a girlaged four and a half years, with an abdominal cyst,which he opened and removed 2
Gall-stones and diseases of the bile-ducts . age of three years,and it continued • until she was nineteen years ofage. She was operated upon by Treves, who foundthe gall-bladder distended with mucus, faintly tingedwith bile; the common duct was not half an inch inlength, impervious, and ended as a fibrous was successfully carried months after the operation the skin was slightlyjaundiced. A similar explanation probably applies to a casereported by Edgeworth. His patient was a girlaged four and a half years, with an abdominal cyst,which he opened and removed 29 oz. of bile, underthe impression that it was a dilated child died, and at the post-mortem examinationthe gall-bladder and cystic-duct were found atrophied,but the cyst represented an enormously dilatedcommon bile-duct; its duodenal end was stenosed. OBLITERATION OF BILE-DUCTS 41 The specimen represented in Fig. 8 is referred toby Frerichs as being preserved in the AnatomicalMuseum at Breslau. The common and cystic duct. Fig. 8.—Enormous dilatation of the common bile-duct secondaryto obstruction of the duodenal orifice. From a female infant(after Frerichs). were involved in the dilatation which contained relation to morbid conditions of the bile-ductsduring foetal life reference may be made to someobservations of Still on biliary calculi in finds there is a much greater tendency for the 42 DISEASES OF THE BILE-DUCTS formation of gall-stones during early infancy thanin later childhood, and he refers to Thomsons obser-vation that nearly all, if not all, the calculi found inthe newborn are formed during intra-uterine life. Healso refers to an observation by Bouisson, who foundgall-stones in an infant associated wTith some nar-rowing of the common bile-duct. Still has collectedfive cases of intense jaundice in new-born infants,due, as was proved by examination post mortem, tocalculi impacted in the ducts. It is fair to assumethat the same m
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