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Article
November 30, 1901

ACUTE CHOLECYSTITIS AND CHOLANGITIS AS A COMPLICATION OF GALLSTONES.

Author Affiliations

Professor of Clinical Anatomy, College of Physicians and Surgeons; Attending Surgeon Cook County Hospital. CHICAGO.

JAMA. 1901;XXXVII(22):1453-1457. doi:10.1001/jama.1901.62470480023002f
Abstract

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

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