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Article
September 1, 1923

THE DIAGNOSIS AND MANAGEMENT OF STONES IN THE COMMON DUCTREVIEW OF FIFTY CASES

JAMA. 1923;81(9):709-713. doi:10.1001/jama.1923.02650090007003
Abstract

In 273 operations on the gallbladder and ducts on 271 patients from 1917 to 1922, seventeen, or 6.2 per cent., had stone in the common duct. We have a list of thirty-three other operations for stone in the common duct prior to 1917. The mortality of the fifty patients was 10 per cent.

The average age was 52 years. The oldest patient was 77 years of age, and the youngest, 27 years. All the women were married, and 57 per cent, had one or more children.

In the registration area during 1918 there were 2,458 deaths from biliary calculi, of which 72 per cent, were women.

In our series, 36 per cent, had a history of typhoid fever, and 18 per cent. were treated for what they called "typhoid malaria." All the women in the series who had not borne children had had typhoid fever.

The duration of the symptoms

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