Transactions of the American Association of Obstetricians and Gynecologists for the year ... . on bile duct, making it difficult for gall-bladder to empty itself AB DO MI X A L QUADRA N T. 313 normally. Seventy-five stones of varying sizes found in gall organ was opened four stones were milked back from commonbile duct; one large stone had to be broken between fingers. Ap-pendix removed. Bands treated in usual manner. Gall-bladderopened and stones removed. Closure as usual. Note.—The gall-bladder was not particularly thickened, and thecondition of patient was such that it was de
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . on bile duct, making it difficult for gall-bladder to empty itself AB DO MI X A L QUADRA N T. 313 normally. Seventy-five stones of varying sizes found in gall organ was opened four stones were milked back from commonbile duct; one large stone had to be broken between fingers. Ap-pendix removed. Bands treated in usual manner. Gall-bladderopened and stones removed. Closure as usual. Note.—The gall-bladder was not particularly thickened, and thecondition of patient was such that it was deemed best only to removethe stones and drain the organ. According to a classification ac-cepted by some, we would consider two types of bands being presentin upper quadrant: the smaller, evolutionary; and the mass,inflammatory. Subsequent History.—Convalescence uneventful. Last report,September 8, ioio. No recurrence of attacks: has gained twenty-two pounds. Marked constipation relieved. In excellent condition. Case IX.—A. B., aged forty-seven; female; widow. First seenMarch i, Fig. 14.—1. Gall-bladder. 2. Mass of adhesions. 3. Scar nodule verysuspicious of malignancy. 4. Small section of liver removed with nodules. Previous Personal History.—Constipation and indigestion sincechild was born twenty-four years ago—supposedly bilious attacks orgall stones. Severe attacks at first came every six months, stoppedfor a time, and then came on once every two or three years. Jaun-dice eighteen years ago. Operation for rectal fistula fifteen yearsago; drained for a year; cured after second operation. Recentlydiscovered a lump in left breast. Physical Examination.—Lumpy condition of upper and outerquadrant of breasts, particularlv left one. Tenderness over gall-bladder and appendix. Cystocele and rectocele. X-ray Examination.—Practically negative. Operation.—Polyclinic Hospital, New York, March 27. —Condition in gall-bladder region as shown in dra
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