Le sud de médecine et chirurgie [Série] . fonction qu'il ne le fait dans la vésicule blad-der et du maladies. Il n'est pas chose redevance-mon pour trouver à la présence de l'opération a été une connexion est établie entre la vésicule biliaire et le canal commun à la fibrose ou une partie d'theintestine, créant ainsi un bassin de drainage.Dans de telles circonstances il est une inflammation causée par le pro-jet d'un angle d'une pierre, une boucle de l'intestin a devenir adhérent tothis spot, une nécrose de la paroi du conduit de boththe et de l'intestin permet au col stoneto et le drainage se fait.En fait, c'est la seule façon

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Southern medicine and surgery [serial] . function than it does in gall blad-der and duct diseases. It is no uncom-mon thing to find at operation thatthere has been a connection made be-tween the gall bladder and the cystic orthe common duct to some portion of theintestine, thus establishing a drainage.Under such circumstances there hasbeen an inflammation caused by the pro-jection of an angle of a stone, a loop ofthe intestine has become adherent tothis spot, necrosis of the wall of boththe duct and intestine enables the stoneto pass and drainage is brought about.In fact, this is the only way that it ispossible for gall stones to be passed fromthe gall bladder. In one instance at op-eration we found the stone in process ofpassing through the walls of both thegall bladder and intestine where theyhad become adherent. Another patientwas admitted to the hospital sufferingfrom an intestinal obstruction of six / ( / Jr- «. ir T jy ^ - ^^_, tJ^ Same as No. 3 with the chloecyst-enteros-tomy re-established by means of a rubber tube.. The choleyst-entcrostomy had given way.The buttonhole has been closed (g) and theloop resected (i). days standing. A history of three pre-vious obstructions lasting from five tosix days was elicited, the first one datingfrom fifteen years back. She was op-erated upon as soon as preparationcould be made, and when the abdomenwas opened a mass was found the sizeand shape of an egg, located at the lowerend of an enormous distention involvingthe proximal of intestine. The intes-tine was collapsed below this point. Anincision was made parallel with the longaxis of the intestine, the stone was re-moved and the opening closed. This is 518 SOUTHERN MEDICINE AND SURGERY December, 1924. what had happened in this case: Therehad been an acute cholecystitis whilethis stone occupied the gall bladder; ad-hesions had formed between the gallbladder and a loop of the intestine justbeyond the jejunum; necrosis had oc-curred from the pressure of the pointedend of t

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• bookcentury1900
• bookdecade1920
• booksubjectmedicine
• bookyear192