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October 1953

SPONTANEOUS CHOLECYSTECTOMY: Report of a Case Probably Resulting from Irradiation of Hepatic Metastasis

Author Affiliations

From the Memorial Center for Cancer and Allied Diseases.

AMA Arch Surg. 1953;67(4):620-622. doi:10.1001/archsurg.1953.01260040629016

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THERE are a number of reports in the literature describing spontaneous extrusion of portions of various viscera either via the natural excretory route of the alimentary canal, namely, per rectum, or through operative or traumatic wounds in the body parietes. The prerequisite for passage of portions or all of a viscus spontaneously is the devitalization and sequestration of the viscus. Perhaps the most frequent of these is the passage of a segment of bowel per rectum (sometimes as a "cast") following a volvulus or intussusception. In the following instance practically the entire gangrenous gall bladder without stones was extruded spontaneously through the abdominal wound following left hepatic lobectomy, performed several weeks previously for the excision of hepatic metastases, which was performed in turn after irradiation of the left lobe and porta hepatis.

REPORT OF CASE  A. G., a man aged 67 years, in 1943 underwent a radical gastrectomy for carcinoma

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