[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.158.119.60. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
November 18, 1911

CHOLECYSTITIS AND CHOLELITHIASIS IN THEIR RELATION TO PREGNANCY

Author Affiliations

IOWA CITY, IA.

JAMA. 1911;LVII(21):1690-1694. doi:10.1001/jama.1911.04260110190017
Abstract

ETIOLOGY AND ENTRANCE  That the etiology of cholecystitis depends on bacterial infection is the generally accepted opinion; and it is believed that cholelithiasis may result from cholecystitis, and that cholelithiasis, having once become a condition or lesion, may then become a factor in the production of cholecystitis.While it is generally conceded that the portal circulation is the avenue of entrance, the bacteria may enter the common duct by way of the duodenum; or possibly through the hepatic artery and the lymphatics they may find their way to the biliary tracts. And while normally the liver acts as a toxin filter, yet, when overtaxed, its filtration must be but imperfectly accomplished, and the effects of this non-fulfilment of function in so important an organ as the liver are liable to be disastrous.

INFECTION  These etiologic infections may be mixed or simple; if mixed, one organism may prevail to-day and may

First Page Preview View Large
First page PDF preview
First page PDF preview
×