Bile peritonitis has been the subject of much discussion. Some writers have denied that bile plays any rôle in the production of the symptoms that accompany rupture of the gallbladder or bile ducts and have attributed the serious effects to bacterial action.
Buchanan summarized the literature on bile peritonitis without evident perforation of the biliary tract and came to the conclusion that there were no typical symptoms or signs and that there was insufficient evidence to make such a diagnosis even after operation or post mortem.Many theories have been advanced as to the cause of this condition: Clairmont and von Hoberer's filtration theory; Newaverch and Luebke's microscopic perforation; Lich and Fraenkel's small almost invisible perforation; a rupture subsequently healed, rupture of the interhepatic bile canal of Newaverch, and postperitoneal perforation of the common duct.Keene, Da Costa, Judd and Burden, Le Jars, Cumston and Pincoffs and Boggs
HORRALL OH. EXPERIMENTAL BILE PERITONITIS AND ITS TREATMENT IN THE DOG. Arch Intern Med (Chic). 1929;43(1):114–128. doi:https://doi.org/10.1001/archinte.1929.00130240117010
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