Abstract
Gallstones in the common duct have been found once in every five cases operated on by Robson, and once in every seven cases of the Mayos. It is estimated that 67 per cent. occur in the duodenal end, 15 per cent. in the hepatic end, and 18 per cent. in the middle of the choledochus. They vary in size usually from a split pea to a nut-meg, although exceptional instances of much larger stones have been recorded. They are usually solitary, though more than one are frequently found. They sometimes may remain many years. Moynihan speaks of one case removed after 9 years. They usually cause death in from 6 to 12 months from cholemia if the obstruction is complete and unrelieved. I have seen death ensue in 6 weeks from cholemia and infection, with intense jaundice and delirium, in spite of operation, which was only undertaken as a last
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Schedule a callMore From: JAMA: The Journal of the American Medical Association
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