Abstract

Acute cholecystitis may be of typhoid origin. The failure to detect this association may result in grave consequences. Because of the relative infrequency of typhoid and its complications in modern medical practice, one rarely thinks of this disease when confronted with a case of acute cholecystitis. This report reviews 4 cases of acute typhoid cholecystitis to reemphasize the importance of this complication of typhoid. Two of the 4 cases came to operation before the association with typhoid had been established. In 2 instances secondary attacks occurred among the personnel of the hospitals to which the patients had been referred for operative procedures. The localization of the typhoid bacillus in the gallbladder during the course of typhoid has become common knowledge since the report of Gilbert and Girode1in 1890. Chiari2in 1894 recovered this organism from the gallbladder in 19 out of a total of 22 cases of

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