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November 1948


Author Affiliations

From the Surgical Grand Rounds, New York Hospital, Nov. 22, 1947.

Arch Surg. 1948;57(5):686-696. doi:10.1001/archsurg.1948.01240020695009

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Chairman (Dr. Frank Glenn): The clinic this morning will be as usual except that it is being reported. The purpose of the first part is to give a picture of our general approach to problems of the biliary tract and of the common duct in particular. Dr. Hooker:

Dr. Hooker: Mrs. B. was admitted to the hospital for the second time on Oct. 7, 1947, with the chief complaint of intermittent fever of two months' duration. The first admission was in November of 1946 for acute cholecystitis and choledocholithiasis with cholelithiasis.

On the evening of her first admission a diagnosis of acute cholecystitis was made and an emergency laparotomy performed. At this time the gallbladder was found to be distended, tense and subacutely inflamed. Numerous stones could be felt within the common duct. Exploration of the common duct was performed, and numerous stones were removed from it. A probe could

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