A Text book of the Practice of Medicine volume 1

Cover A Text book of the Practice of Medicine volume 1
A Text book of the Practice of Medicine volume 1
Hermann Eichhorst
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Also at times the gall-bladder becomes attached by adhesions to adjacent organs (stomach, intestines, urinary passages), ruptures into these, and evacuates its calculous contents into them, so that gall-stones may be vomited or be found in the urinary bladder. Occasionally adhesions to the abdominal wall form, with rupture of the gall-bladder externally, and at times numerous gall-stones are evacuated through the resulting external bilary fistula for a considerable length of time. Rupture of ga...ll-stones into the lungs and the bronchi has also been observed. Pericholecystitis is a common sequel of gall-stones. Gall-stones may persist at times throughout life. Only rarely is the disease terminated with a single attack of hepatic colic.
Prognosis. Hepatic colic is a serious condition under all circumstances, being attended with numerous dangers, whether the calculi exhibit a migratory or a sessile tendency. It should not be forgotten in this connection, however, that gall-stones may excite the development of carcimoma in the gall-bladder.


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