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June 6, 1931


JAMA. 1931;96(23):1967-1968. doi:10.1001/jama.1931.02720490047023

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Gallbladder Giardiasis  Dr. C. Mathias, assistant physician in the hospital Santa Casa of São Paulo, who has performed about 550 duodenal intubations during the last three years, found giardiasis in 22 cases, or about 4 per cent. In 16 patients of this group, the parasites were found both in the duodenum and in the gallbladder; in the remaining 6 patients the infestation was localized in the gallbladder alone. In 13 patients of the first subgroup (of 16 patients) giardiasis complicated a lithiasic or inflammatory process of the gallbladder, as proved by the clinical examination, cholecystography and the Meltzer-Lyon test. In these cases the symptoms of giardiasis were overshadowed by those of inflammation and lithiasis. In the 3 remaining cases of this subgroup there were symptoms of gastro-intestinal dyspepsia characterized by fulness of the epigastrium and right hypochondrium, alternating attacks of diarrhea and constipation, coated tongue, lack of appetite and slight

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