RUPTURE OF GALL BLADDER OR DUCT FROM VOMITING.

Abstract

<h3>RUPTURE OF GALL BLADDER OR DUCT.</h3><h3>Case 1.</h3> —A. C. D., aged 53. Four years ago, I am informed, he had two attacks of colic. Aug. 1, 1902, had an attack that resembled biliary colic. In each instance recovered promptly, with no evidence of gallstone in the intervals. On September 1 last I was called at 2 a. m. to see this patient, who was suffering severely from colic, with greatest pain over gall bladder. He was given a hypodermic of morphia and atropia, hot applications to abdomen. He became easier and I returned home. Two hours later I was again called. He had been vomiting and his pain was now excruciating, and there was marked rigidity of abdominal muscles, with decided localization of pain under the right costal arch. I believed perforation of gall bladder or duct was imminent or had occurred. I returned at 8 o'clock, when his