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October 21, 1933


Author Affiliations

Lawrence, Mass

JAMA. 1933;101(17):1333. doi:10.1001/jama.1933.02740420053028

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To the Editor:  —I removed a gallstone from a woman yesterday which I think is the largest individual gallstone in the country. If there is a larger one please let me know. The stone weight and measurements are: weight 2½ ounces (70 Gm.); length, 3 inches (7.5 cm.); diameter, 1⅝ inches (4 cm.); circumference, 4½ inches (11.5 cm.). It was greenish gray and firm and was the only stone in the bladder. The size of the gallbladder was 8½ inches (21.5 cm.); diameter, 2 inches (5 cm.).

Comment.  —Sternberg reported in Aschoff's "Pathologic Anatomy," edition 6, a gallstone 14 cm. across and weighing 200 grains, or 13 Gm. Rankin and McKeith reported a gallstone measuring 6.9 by 8.5 cm. Clement found one measuring 2½ by 1¼ inches, or 6.3 by 3.1 cm. Bennett removed one at operation with a circumference of 5½2 inches (14 cm.) and weighing 636 grains (41.3

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