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Among the most common diseases of the abdominal cavity may be mentioned those of the biliary ducts, and of this class cholelithiasis is the most frequent. In fact, so common is this condition that in several thousand postmortems no less than 7 per cent. of cases with gall-stones were found, and it is a curious conclusion to which some clinicians have arrived, that as these cases did not present any evidence of the presence of the stones, it proves that the majority of those suffering with gall-stones will get well if left alone. Many cases of gall-stones present no direct testimony of their presence, while others give evidence in the most emphatic symptomatic language.
The causation of the formation of gall-stones has been a theme for discussion for many years by some of the ablest clinicians. A few years ago in the direct causes were enumerated stagnation of bile,
CORDIER AH. SOME PATHOLOGIC AND CLINICAL PHASES OF GALL-STONES.. JAMA. 1898;XXXI(2):61–63. doi:10.1001/jama.1898.92450020017002b