. Diseases of the gall-bladder and bile-ducts, including gall-stones . ended gall-bladder containing colourless mucus, and at the post-mortem no obstruction was found in the ducts. The patient died from pyaemia after acute necrosis. Specimen No. 1,587, Middlesex Museum, shows an enormously dilated gall-bladder, the result of impaction of a gall-stone at the neck of the gall-bladder. Specimen No. 2,814, Royal College of Surgeons Museum, shows a large gall-bladder with a gall-stone impacted in the cystic dust (Fig. ^3)- If the obstruction be associated with inflammation, the contents of the gall
. Diseases of the gall-bladder and bile-ducts, including gall-stones . ended gall-bladder containing colourless mucus, and at the post-mortem no obstruction was found in the ducts. The patient died from pyaemia after acute necrosis. Specimen No. 1,587, Middlesex Museum, shows an enormously dilated gall-bladder, the result of impaction of a gall-stone at the neck of the gall-bladder. Specimen No. 2,814, Royal College of Surgeons Museum, shows a large gall-bladder with a gall-stone impacted in the cystic dust (Fig. ^3)- If the obstruction be associated with inflammation, the contents of the gall-bladder ma) become purulent, and an * Diseases of Liver and Gall-bladder. TUMOURS OF THE GALL-BLADDER AND BILE-DUCTS 115 empyema of the gall-bladder result, the symptoms and com-plications of which have already been considered. Hydatid of the Gall-bladder.—Mr. Page of Newcastle describesa case* of hydatid of the gall-bladder in a man between fiftyand sixty years of age, who, until within five years of comingunder Mr. Pages care in December, 1897, had been in good. Fig. 33. Distended Gall-bladder and Pouch at Fundus, caused by Calculus obstructing Cystic Duct. (No. 2,814, Royal College of Surgeons Museum.) health. During that period he had suffered from occasionalattacks of pain in the epigastric region accompanied byvomiting ; for eight months the attacks had become moresevere, and occurred more frequently. About October hebegan to lose flesh, and the pain and vomiting were almost * Lancet, April 9, if 3—2 n6 DISEASES OF THE GALL-BLADDER AND BILE-DUCTS continuously present. On November 24 there was first founda tumour of. some size, connected with the under surface ofthe liver, which was supposed to be a distended December 9, 1897, the abdomen was opened in theright semilunar line, and the gall-bladder exposed. Some12 ounces of clear, colourless fluid were drawn off byaspiration, and a search made for a stone in the cystic duct;but none was found. The gall-
Size: 1097px × 2277px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyorkwilliamwood
