Abstract

1. 1. Patients with gallbladder disease plus vascular obstruction must be diagnosed early and operated upon as soon as possible. 2. 2. Other patients with acute gallbladder pathological conditions should be allowed to quiet down before surgery, if seen forty-eight hours after the onset of symptoms; otherwise they should be operated upon at once. 3. 3. The condition of the patients in the first group may be diagnosed by the persistent pain and increased sedimentation rate which is sometimes accompanied by a palpable, enlarged and tender gallbladder.

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