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December 21, 1940


Author Affiliations

Los Angeles

From the surgical service, College of Medical Evangelists, and the Los Angeles General Hospital.

JAMA. 1940;115(25):2168-2169. doi:10.1001/jama.1940.72810510002011a

Foreign bodies are rarely considered a nucleus for stones found in the biliary tract. When encountered, however, they do present some interesting speculations.

REPORT OF CASE  A Negro youth aged 20, a student, admitted to the Los Angeles General Hospital Feb. 26, 1940, had been ill for ten days with nausea, vomiting and a sharp pain in the right upper quadrant of the abdomen. On the fifth day it was noted that he had acholic stools and also that he was jaundiced. He had a fever at times but no chills. There had been no antedating history of food intolerance or of similar attacks.He was well developed and well nourished and in no great pain. The skin and scleras were jaundiced. There was rigidity in the right upper quadrant of the abdomen. Physical examination otherwise was negative. The hemoglobin content was 108 per cent, the erythrocyte count was 4,650,000