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One of the difficulties we found in using rubber tubing for repairing defects in common duct injuries was that if the tubes did not pass in a short time they were apt to become plugged with a deposit from the bile. When vitallium tubes came into use we hoped that because of the properties of the metal and because of the shortness of the tube this would not occur. However, a few months ago we found it necessary to remove the first vitallium tube we had used because of biliary obstruction and were disappointed to note that the cause of the obstruction was a thick plug of deposit in the tube.
The history of the patient, a man aged 40, is that he had been operated on for gallstones about a year before we saw him. The surgeon when questioned did not think that he had injured the common
Bettman RB, Tannenbaum WJ. COMPLICATION ARISING FROM USE OF VITALLIUM TUBE FOR COMMON DUCT REPAIR. JAMA. 1945;129(17):1165–1166. doi:10.1001/jama.1945.92860510005009a
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