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May 28, 1938

RUPTURE OF THE GALLBLADDER WITHOUT ASSOCIATED CHOLECYSTITIS

JAMA. 1938;110(22):1826-1827. doi:10.1001/jama.1938.62790220001010

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Abstract

Spontaneous rupture of the gallbladder complicating cholecystitis and cholelithiasis is relatively rare. A review of the literature fails to reveal a reported case of rupture without evidence of inflammation or stones. The diagnosis of this abdominal catastrophe is difficult because of the diversity of clinical symptoms, the lack of localization in the physical manifestations and the rarity of such a pathologic process.

The following report outlines the clinical and pathologic features of such a case:

REPORT OF CASE  A white man aged 58, an executive, seen March 23, 1937, complained at this time of failing vision, of four weeks' duration, and of nocturia (from two to three times). His past history was of interest in that he had had a duodenal ulcer for a number of years, was operated on for adhesions in 1927, and had a gastroenterostomy in 1929 for a pyloric obstruction. He had been entirely relieved of

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