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CHOLECYSTITIS WITH PERFORATION

CHOLECYSTITIS WITH PERFORATION Abstract IN AN attempt to determine the true incidence of perforation of the gallbladder in a large series of necropsies, a review was made of 12,000 consecutive routine autopsies done at the Los Angeles County Hospital from April 1936 to January 1942. It is evident from the results of this large series of necropsies that the incidence and mortality of perforation of the gallbladder are much higher than heretofore generally believed. The argument for early operation for acute cholecystitis as a means of lowering the mortality from perforation is further strengthened by the presentation of an analysis of 105 cases of acute cholecystitis in which operation was performed at the White Memorial Hospital, Los Angeles, in the period between 1924 and 1944 and at the Glendale Sanitarium and Hospital, Glendale, Calif., in the period between 1927 and 1944. A vast amount of writing has been done on the subject of acute References 1. Cowley, L. L., and Harkins, H. N.: Perforation of the Gallbladder: A Study of Twenty-Five Consecutive Cases , Surg., Gynec. & Obst. 77:661-668 ( (Dec.) ) 1943. 2. Heuer, G. J.: The Factors Leading to Death in Operations upon the Gall-Bladder and Bile-Ducts , Ann. Surg. 99:881-892 ( (June) ) 1934 3. Surgical Aspects of Acute Cholecystitis , Heuer Ann. Surg. 105:758-764 ( (May) ) 1937. 4. Branch, C. D., and Zollinger, R.: Acute Cholecystitis: A Study of Conservative Treatment , New England J. Med. 214:1173-1177 ( (June 11) ) 1936. 5. Smith, M. K.: The Treatment of Acute Cholecystitis , Am. J. Surg. 40: 192-196 ( (April) ) 1938. 6. Cave, H. W.: Immediate or Delayed Treatment of Acute Cholecystitis: Liver Shock and Death , Surg., Gynec. & Obst. 66:308-314 ( (Feb.) ) 1938. 7. Sanders, R. L.: Perforation of Gallbladder: Analysis of Forty-Six Cases , Surgery 1:949-958 ( (June) ) 1937. 8. Hotz, R.: Perforated Cholecystitis , Am. J. Surg. 44:706-711 ( (June) ) 1939 9. Acute Cholecystitis with Discussion of Factors in Morbidity and Mortality , Hotz Am. J. Surg. 44:695-705 ( (June) ) 1939. 10. Stone, W. W.: Perforation of the Gallbladder Occurring in the Late Stage of Pregnancy , J. A. M. A. 109:1903-1904 ( (Dec. 4) ) 1937. 11. McClure, R. D., and Altemeier, W. A.: Acute Perforated Appendicitis with Peritonitis , Ann. Surg. 105:800-814 ( (May) ) 1937. 12. Nix, J. T., in discussion on McCloskey, J. F., and Lehman, J. A.: Surgical Management of Acute Cholecystitis , Rev. Gastroenterology 7:176-183 ( (March-April) ) 1940. 13. Schaeffer, R. L.: Acute and Chronic Perforations of the Gallbladder , Pennsylvania M. J. 45:566-569 ( (March) ) 1942. 14. Touroff, A. S. W.: Acute Cholecystitis: A Study of Seventy-Five Proven Cases with Subsiding or Subsided Clinical Manifestations at the Time of Operation , Ann. Surg. 99:900-913 ( (June) ) 1934. 15. Bonn, H. K., and Bachhuber, C. A.: The Surgical Treatment of Acute Cholecystitis , Am. J. Surg. 49:447-453 ( (Sept.) ) 1940. 16. Graham, H. F., and Hoeffle, M. E.: Acute Cholecystitis: Results of Operation Within Forty-Eight Hours of Onset of Symptoms , Ann. Surg. 108: 874-876 ( (Nov.) ) 1938. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

CHOLECYSTITIS WITH PERFORATION

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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1946 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1946.01230060003001
Publisher site
See Article on Publisher Site

Abstract

Abstract IN AN attempt to determine the true incidence of perforation of the gallbladder in a large series of necropsies, a review was made of 12,000 consecutive routine autopsies done at the Los Angeles County Hospital from April 1936 to January 1942. It is evident from the results of this large series of necropsies that the incidence and mortality of perforation of the gallbladder are much higher than heretofore generally believed. The argument for early operation for acute cholecystitis as a means of lowering the mortality from perforation is further strengthened by the presentation of an analysis of 105 cases of acute cholecystitis in which operation was performed at the White Memorial Hospital, Los Angeles, in the period between 1924 and 1944 and at the Glendale Sanitarium and Hospital, Glendale, Calif., in the period between 1927 and 1944. A vast amount of writing has been done on the subject of acute References 1. Cowley, L. L., and Harkins, H. N.: Perforation of the Gallbladder: A Study of Twenty-Five Consecutive Cases , Surg., Gynec. & Obst. 77:661-668 ( (Dec.) ) 1943. 2. Heuer, G. J.: The Factors Leading to Death in Operations upon the Gall-Bladder and Bile-Ducts , Ann. Surg. 99:881-892 ( (June) ) 1934 3. Surgical Aspects of Acute Cholecystitis , Heuer Ann. Surg. 105:758-764 ( (May) ) 1937. 4. Branch, C. D., and Zollinger, R.: Acute Cholecystitis: A Study of Conservative Treatment , New England J. Med. 214:1173-1177 ( (June 11) ) 1936. 5. Smith, M. K.: The Treatment of Acute Cholecystitis , Am. J. Surg. 40: 192-196 ( (April) ) 1938. 6. Cave, H. W.: Immediate or Delayed Treatment of Acute Cholecystitis: Liver Shock and Death , Surg., Gynec. & Obst. 66:308-314 ( (Feb.) ) 1938. 7. Sanders, R. L.: Perforation of Gallbladder: Analysis of Forty-Six Cases , Surgery 1:949-958 ( (June) ) 1937. 8. Hotz, R.: Perforated Cholecystitis , Am. J. Surg. 44:706-711 ( (June) ) 1939 9. Acute Cholecystitis with Discussion of Factors in Morbidity and Mortality , Hotz Am. J. Surg. 44:695-705 ( (June) ) 1939. 10. Stone, W. W.: Perforation of the Gallbladder Occurring in the Late Stage of Pregnancy , J. A. M. A. 109:1903-1904 ( (Dec. 4) ) 1937. 11. McClure, R. D., and Altemeier, W. A.: Acute Perforated Appendicitis with Peritonitis , Ann. Surg. 105:800-814 ( (May) ) 1937. 12. Nix, J. T., in discussion on McCloskey, J. F., and Lehman, J. A.: Surgical Management of Acute Cholecystitis , Rev. Gastroenterology 7:176-183 ( (March-April) ) 1940. 13. Schaeffer, R. L.: Acute and Chronic Perforations of the Gallbladder , Pennsylvania M. J. 45:566-569 ( (March) ) 1942. 14. Touroff, A. S. W.: Acute Cholecystitis: A Study of Seventy-Five Proven Cases with Subsiding or Subsided Clinical Manifestations at the Time of Operation , Ann. Surg. 99:900-913 ( (June) ) 1934. 15. Bonn, H. K., and Bachhuber, C. A.: The Surgical Treatment of Acute Cholecystitis , Am. J. Surg. 49:447-453 ( (Sept.) ) 1940. 16. Graham, H. F., and Hoeffle, M. E.: Acute Cholecystitis: Results of Operation Within Forty-Eight Hours of Onset of Symptoms , Ann. Surg. 108: 874-876 ( (Nov.) ) 1938.

Journal

Archives of Surgery – American Medical Association

Published: Jul 1, 1946

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