Gall-Stones And Diseases of the Bile-Ducts

Cover Gall-Stones And Diseases of the Bile-Ducts
Gall-Stones And Diseases of the Bile-Ducts
John Bland Sutton
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During life the stomach was so distended that it reached to the symphysis pubis.
Cases of pyloric stenosis due to gall-stones have been reported by several observers, and in nearly all of them the trouble was supposed, during life, to depend on cancer of the pylorus.
The causes of death in intestinal obstruction from gall-stones is exhaustion from the incessant vomiting and peritonitis. The infection of the peritoneum may be due to leakage at the edges of the fistula between gall-bladder and gu
...t, or more commonly perforation and gangrene of the intestine at the seat of impaction.
In some cases the patients have died after the calculus has been voided in consequence of peri- tonitis following injury to the terminal section of the ileum, or the parts in the immediate vicinity of the ileo-caecal valve.
Clinical characters. — Although gall-stones find their way into the intestinal canal very frequently, either through the natural opening in the duodenum or by perforation through the walls of the gall-bladder and adjacent bowel, obstruction from this cause is not common.


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