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March 10, 1900


JAMA. 1900;XXXIV(10):628-629. doi:10.1001/jama.1900.02460100050017

The various kinds of accidental injuries that it may fall to practitioners to treat are almost without number. While some are frequent, well-known and readily recognized, others are so rare as to be almost unique and correspondingly easy to overlook. One of the rarest is traumatic rupture of the bile-duct. It is therefore proper to note some of the more prominent features of the example of this injury recently recorded by Garrett1. A man, 21 years old, and carrying a beam on his shoulder, fell, striking his abdomen across the beam on which he had been standing; as he fell the beam on his shoulder glided down the back and exerted force opposite the anterior blow. Some shock followed gradually. The abdomen became tympanitic, but the tympanites was relieved by turpentin. There were no special symptoms until on the tenth day, when fluid was found to have accumulated in