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November 20, 1915

ROENTGEN OBSERVATION OF THE GALLBLADDER AND HEPATIC DUCTS AFTER PERFORATION INTO THE DUODENUM

Author Affiliations

Rochester, Minn.

JAMA. 1915;LXV(21):1812. doi:10.1001/jama.1915.02580210046016

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Abstract

The roentgenologic demonstration of a barium-filled gallbladder in a living patient is sufficiently unusual to warrant its report. So far as I am aware, no similar case confirmed by operation or necropsy has appeared in the Roentgen literature.

The patient, a woman aged 54, had had a cholecystostomv for gallstones in January of this year, elsewhere. She came to the Mayo Clinic May 22. In the scar of the operation wound were two sinuses, discharging pus, and surrounded by a movable, nodular mass. The total acidity was 4, all combined; no food remnants. Hemoglobin 80 per cent. The clinical symptoms consisted chiefly of some hunger distress, belching and watery regurgitation.

At the Roentgen examination no retention from the six-hour meal was found. When the stomach was filled with the second meal, the pyloric end showed a smooth, concentric filling defect, giving the lumen a conical form, and typical of scirrhous

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