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December 1, 1945

SUBCUTANEOUS OR EXTRAPERITONEAL GALLBLADDER: (A REPORT OF AN UNUSUAL CASE)

JAMA. 1945;129(14):949. doi:10.1001/jama.1945.92860480005008
Abstract

Anomalies of the biliary system have frequently been reported in the past fifty years and there have been a few cases of unusual location of the gallbladder.1 It has been found in hernial sacs, found floating on a long mesentery within the abdomen and found completely buried in the substance of the liver. There have been a few reported cases of spontaneous biliary fistula through the abdominal wall with extrusion of gallstones.

Early in 1945 at the Presbyterian Hospital of Chicago I operated on a gallbladder which lay directly beneath the skin and on top of the abdominal muscles. A search of the literature has failed to reveal a similar history and for that reason this case would seem to be unique.

The patient was a woman aged 81 who appeared in the clinic with the complaint of a painless mass in the upper right

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