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Transactions of the Section on Obstetrics, Gynecology and Abdominal Surgery of the American Medical Association

Transactions of the Section on Obstetrics, Gynecology and Abdominal Surgery of the American Medical Association


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1921 Excerpt: ...1890, p. 58. 9. Cabot, A. T., quoted by Moynihan, B. G. A.: The Pathology of the Living, Philadelphia, W. B. Saunders Company, 1910, p. 203. in the common duct; (4) stone in the cystic duct with compression of the common hepatic duct, and (5) malignant disease along the course of the common duct, with an old chronic fibroid gallbladder. It is usual to find the Courvoisier gallbladder distended with bile. This is not always the case, as a distinct hydrops and a well dilated common duct filled with clear mucoid fluid have been observed. This condition is associated with patulous cystic and hepatic ducts and is essentially a pressure acholia. In one of our cases with steadily increasing jaundice, the gallbladder and common duct were found at operation to be enormously distended with clear fluid. A cholecystostomy was performed, and for a few hours clear fluid flowed from the tube. After the mucoid material drained away, bile was obtained in large amounts. Later necropsy revealed a small carcinoma at the ampulla of Vater. Kausch10 thinks that the hydrops in these cases is due to excessive secretion by the mucosa of the gallbladder and ducts, and, with the duodenal opening occluded, the pressure in the ductal system is so raised that the bile is forced into the blood and lymph vessels of the liver. OPERATIVE PROCEDURES Operations for carcinomatous jaundice will be palliative procedures to provide drainage for the biliary secretion. The simplest technic for this purpose is external drainage by means of cholecystostomy. Such an operation, however, entails a rapid loss of bile salts and body fluid and should not be the procedure of choice. The union of the gallbladder to various portions of the alimentary tract has been performed a number of times in almost all of ...


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Product Details
  • ISBN-13: 9781153667586
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 100
  • Spine Width: 5 mm
  • Width: 189 mm
  • ISBN-10: 1153667584
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 195 gr


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Transactions of the Section on Obstetrics, Gynecology and Abdominal Surgery of the American Medical Association
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