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Mrs. P., aged 29 years, previous health good except for chronic constipation, had first attack of pain three months previous to operation; the pain being in the region of the gall-bladder and lasting for three or four hours. The second attack occurred a month later and was so severe that I was called in to relieve her. The pain was continuous in character with occasional exacerbations, which caused her to cry out. The bowels were constipated and the patient had been vomiting; there was icterus, but no mass could be felt in the abdomen. A diagnosis of gall-stones was made and the patient advised to have an operation. She preferred to wait, and as the pain subsided somewhat, thought an operation unnecessary.
A month later I was called in and found exactly the same condition of affairs with the exception that the gall-bladder could be felt somewhat to the right
BARBAT JH. RETENTION CYST OF GALL-BLADDER. APPENDICAL ADHESION CAUSING INTESTINAL OBSTRUCTION; FIBROMYOMECTOMY COMPLICATED BY PREGNANCY. JAMA. 1899;XXXII(17):923–925. doi:10.1001/jama.1899.92450440016002d
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