In his treatise on gallstones Hans Kehr, whose experience in this special field has been such a rich and varied one, says: "Almost every case of cholelithiasis brings surprises of a remarkable sort. The pathological anatomy of this disease forms the foundation for its special diagnosis and treatment. Without an exact comprehension of the pathology, we can neither make a good diagnosis nor initiate a rational treatment." Stimulated by these words, it will be my purpose to add a contribution rather to the surgical pathology of this subject than to its treatment. The case which I desire to report, and which I will discuss in detail later, was one of the surprises of which Kehr speaks. It is, in brief, that of a girl 17 years of age, who was operated upon for gallstones, and purulent cholecystitis, in which the colon bacilli were found in pure culture, and who died
EISENDRATH DN. ACUTE CHOLECYSTITIS AND CHOLANGITIS AS A COMPLICATION OF GALLSTONES. JAMA. 1901;XXXVII(22):1453–1457. doi:10.1001/jama.1901.62470480023002f
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