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April 1925

ABDOMINAL PAIN DUE TO GALLSTONES, IN A CHILD AGED NINE YEARS

Author Affiliations

LONDON, ENGLAND
From the Hospital for Sick Children, Great Ormond Street.

Am J Dis Child. 1925;29(4):516-517. doi:10.1001/archpedi.1925.04120280086008
Abstract

REPORT OF CASE  M. A., a girl, Jewish, aged 9 years and 5 months, had a history of attacks of abdominal pain of increasing frequency for one month. The pain usually commenced suddenly and lasted for about an hour. Vomiting occurred on one occasion; the bowels were always regular. There were slight intermittent rises of temperature. Jaundice was not present.Some tenderness was encountered over the right half of the abdomen, but no rigidity. The appendix was removed, and showed signs of slight chronic inflammation microscopically. This operation, however, did not relieve the symptoms, and the pains recurred with greater severity, at times causing the child to become doubled up. The gallbladder, therefore, exposed by Mr. Barrington-Ward, at a subsequent operation was found to be thickened and to contain five or six small stones. A small calculus was also felt in the cystic duct, but none in the common bile

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