The Surgery of Gall-Stone Obstruction (Classic Reprint) - Softcover

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Excerpt from The Surgery of Gall-Stone Obstruction

On operation, I found the gall-bladder adherent to the stomach by Old adhesions. It was not larger than normal, but on section contained a thin, whitish, mucous fluid, and fifty-three small stones. The presence of fluid devoid of color and chemically of bile also in the gall-bladder is always conclusive proof, as in this case, of the Obstruction being confined to the cystic duct. My inability to pass a probe through the duct or to feel a stone in it, on pal patiou was no proof that there was not a small stone there. The patient made a quick recovery with a perma nent mucous fistula, from which bile never came. Six months afterward I reopened the abdomen, dissected away the entire gall-bladder, tied a ligature about its duct and found there a small stone incarcerated between two tight strictures, as if it had been lodged there for years.

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