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December 1958

Chloroform Instillation of Common Bile DuctIts Problems, with Report of an Immediate Untoward Reaction

Author Affiliations

Rochester, N. Y.

AMA Arch Surg. 1958;77(6):903-907. doi:10.1001/archsurg.1958.01290050073015

A case is presented of a residual common duct stone removed by chloroform instillation and biliary flush, with a discussion of the problem and the report of an unexpected reaction.

Report of a Case  A 25-year-old white housewife had had two episodes of right upper quadrant abdominal pain with radiation to the right posterior lumbar area during the past two years. The condition was diagnosed as gallbladder infection and was relieved each time with meperidine (Demerol) and penicillin injections.Five weeks before admission she had colicky pain in the right subscapular area. Three weeks later, she was slightly jaundiced, and x-rays showed a nonfunctioning gallbladder. Pain radiated to the right upper quadrant of the abdomen and persisted in the back. Occurrence of this pain was unrelated to intake of fatty foods.Eight days before admission she had icteric sclerae and dark urine. Six days later the stools became clay-colored. Although

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