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October 1962

Painless Obstructive CholecystopathyHydrops or Empyema of the Gallbladder: Clinical, Roentgenologic, and Surgical Review of 10 Cases

Author Affiliations


Section of Medicine (Dr. Gambill); Section of Roentgenology (Dr. Hodgson); Section of Surgery (Dr. Priestley); Mayo Clinic and Mayo Foundation.

Arch Intern Med. 1962;110(4):442-448. doi:10.1001/archinte.1962.03620220034006

Obstructive cholecystopathy is a condition in which there is obstruction of the cystic duct, usually by one or more gallstones, with resultant tenseness or distension of the gallbladder by bile and mucus ("hydrops") or by purulent material ("empyema"). Obstructive cholecystopathy typically has its origin in a severe episode of biliary colic. On occasion, however, it may, like myocardial infarction, craterous hemorrhagic duodenal ulcer, and pancreatitis, develop quietly and painlessly, with minimal or no associated symptoms known to the patient or elicitable by the physician. This point is generally realized, but at times forgotten, especially among those who are not gastroenterologists. The possibility that the clinical features in a given case of any disease are atypical must be kept in mind if one is to make an accurate diagnosis and hence give logical treatment. The 10 cases of painless obstructive cholecystopathy to be considered here, from a total of 42 cases

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