. Annual and analytical cyclopaedia of practical medicine . e formation of diver-ticula and cicatrices. Thickening of thesurrounding tissues is also a common re-sult. In 255 autopsies in gall-stone casesgiven by Courvoisier, atrophy of thegall-bladder was found in 12 ^/o percent. It is the result of frequent ca-tarrhal inflammation. In such cases thegall-stones are found imbedded in thecontracted gall-bladder or in diverticula. Literature of 96 and 97. The obliteration of the cystic canal,the gall-bladder being aseptic, results inatrophy of the reservoir, the same as ifit contained foreign bod
. Annual and analytical cyclopaedia of practical medicine . e formation of diver-ticula and cicatrices. Thickening of thesurrounding tissues is also a common re-sult. In 255 autopsies in gall-stone casesgiven by Courvoisier, atrophy of thegall-bladder was found in 12 ^/o percent. It is the result of frequent ca-tarrhal inflammation. In such cases thegall-stones are found imbedded in thecontracted gall-bladder or in diverticula. Literature of 96 and 97. The obliteration of the cystic canal,the gall-bladder being aseptic, results inatrophy of the reservoir, the same as ifit contained foreign bodies more or lessirritating. Armenis (These de Paris, 96). A calculus in the common bile-ductwill, after awhile, produce distension andthickening of the wall of the duct. Itsometimes floats in a cavity, often in theampulla of Vater, acting as a ball-valve,thus causing intermittent or remittentjaundice. The enlargement of the bile-ducts mayextend backward to the smaller hepatic cells become deeply stainedwith bile. In some cases, which are com-. CD j=: 1=3 rd 03 a CD CHOLELITHIASIS. TATHOLOGY. TREATMLNT. JOl paratively rare, the couueetive tissue ofthe liver is iucreased, and a calculousbiliary cirrhosis results. It is very dif-ficult, in many of these cases of cirrhosis,to exclude the possibility of their beingcaused by other toxins; alcohol, for in-stance. [For the of the following case Iam indebted to Dr. Dwyer. W. B., aged65, was taken ill with symptoms of bil-iary obstruction about two years and ahalf previous to death. Had pain, jaun-dice, delirium, and anorexia durinfj this Diagnosis of j assage of gall-stone wasmade at first attack, and at a second at-tack ulceration of stone into duodenuinwith development of suppurative cholan-gitis. (See illustrations. The coloredplate shows the normal gall-bladder,but turned upward to correspond withthe position shown in the half-tone cutbelow). He had, throughout the lastattack, irregular rises of E.
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