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GASEOUS PERICHOLECYSTITIS WITH CHOLECYSTITIS AND CHOLELITHIASIS

GASEOUS PERICHOLECYSTITIS WITH CHOLECYSTITIS AND CHOLELITHIASIS Abstract Gas bacillus infection of the liver and biliary tract has been reported many times. In a perusal of the available literature, I have not found a case in which gas formation around the gallbladder was noted during life. Kirchmayr reported an interesting case of gas bacillus infection within the gallbladder, the walls of which showed emphysematous blebs.1 In the case presented, gas in increasing volume was demonstrated both clinically and roentgenologically in relation to the gallbladder. The gas present at the time of operation was proved by culture to be due to an unusual gas bacillus resembling the Bacillus welchii.2 In all case reports of emphysema of the liver, the presence of gas was first noted post mortem. It is interesting that invariably there was an associated chronic cholangeitis, usually with cholelithiasis. From a microscopic study of the liver and biliary system in cases of "Schaumleber," Stolz3 References 1. Kirchmayr: Centralbl. f. Chir. 52:1522, 1925. 2. Welch, W. H., and Nutall, C. H. F.: Bull. Johns Hopkins Hosp. 3:81, 1891. 3. Stolz: Arch. f. Path. 165:90, 1901.Crossref 4. Hintze: München. med. Wchnschr. 1895, no. (10) , p. 290. 5. Kerschensteiner: Deutsches Arch. f. klin. Med. 69:38, 1900. 6. Fütterer: Berl. klin. Wchnschr. 36:58, 1899. 7. Beckmann, K.: München med. Wchnschr. 75:2042, 1928. 8. Gilbert and Gironde: Centralbl. f. Bact. 9:413, 1891. 9. Ehret and Stolz: Mitt. a. d. Grenzgeb. d. Med. u. Chir. 7:8, 1901. 10. Graham, E. A.: Surg. Gynec. Obst. 26:521, 1918. 11. Peterman, M. G.; Priest, W. S., and Graham, E. A.: The Association of Hepatitis with Experimental Cholecystitis and Its Bearing on the Pathogenesis of Cholecystitis in the Human , Arch. Surg. 2:92 ( (Jan.) ) 1921.Crossref 12. Welch, W. H., and Flexner, S.: J. Exper. Med. 1:5, 1896.Crossref 13. Moynihan, B.: Brit. M. J. 1:1, 1928.Crossref 14. Rosenow, E. C.: Mayo Clin. 8:222, 1916. 15. Koch: Ztschr. f. Hyg. u. Infectionskr. 72:1, 1909.Crossref 16. Pesch, K. L., and Hoffmann, V.: München. med. Wchnschr. 75:1705, 1928. 17. Henry, Herbert; and Lacey, Margaret: J. Path. & Bact. 23:283, 1920. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

GASEOUS PERICHOLECYSTITIS WITH CHOLECYSTITIS AND CHOLELITHIASIS

Archives of Surgery , Volume 22 (6) – Jun 1, 1931

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Publisher
American Medical Association
Copyright
Copyright © 1931 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1931.01160060121007
Publisher site
See Article on Publisher Site

Abstract

Abstract Gas bacillus infection of the liver and biliary tract has been reported many times. In a perusal of the available literature, I have not found a case in which gas formation around the gallbladder was noted during life. Kirchmayr reported an interesting case of gas bacillus infection within the gallbladder, the walls of which showed emphysematous blebs.1 In the case presented, gas in increasing volume was demonstrated both clinically and roentgenologically in relation to the gallbladder. The gas present at the time of operation was proved by culture to be due to an unusual gas bacillus resembling the Bacillus welchii.2 In all case reports of emphysema of the liver, the presence of gas was first noted post mortem. It is interesting that invariably there was an associated chronic cholangeitis, usually with cholelithiasis. From a microscopic study of the liver and biliary system in cases of "Schaumleber," Stolz3 References 1. Kirchmayr: Centralbl. f. Chir. 52:1522, 1925. 2. Welch, W. H., and Nutall, C. H. F.: Bull. Johns Hopkins Hosp. 3:81, 1891. 3. Stolz: Arch. f. Path. 165:90, 1901.Crossref 4. Hintze: München. med. Wchnschr. 1895, no. (10) , p. 290. 5. Kerschensteiner: Deutsches Arch. f. klin. Med. 69:38, 1900. 6. Fütterer: Berl. klin. Wchnschr. 36:58, 1899. 7. Beckmann, K.: München med. Wchnschr. 75:2042, 1928. 8. Gilbert and Gironde: Centralbl. f. Bact. 9:413, 1891. 9. Ehret and Stolz: Mitt. a. d. Grenzgeb. d. Med. u. Chir. 7:8, 1901. 10. Graham, E. A.: Surg. Gynec. Obst. 26:521, 1918. 11. Peterman, M. G.; Priest, W. S., and Graham, E. A.: The Association of Hepatitis with Experimental Cholecystitis and Its Bearing on the Pathogenesis of Cholecystitis in the Human , Arch. Surg. 2:92 ( (Jan.) ) 1921.Crossref 12. Welch, W. H., and Flexner, S.: J. Exper. Med. 1:5, 1896.Crossref 13. Moynihan, B.: Brit. M. J. 1:1, 1928.Crossref 14. Rosenow, E. C.: Mayo Clin. 8:222, 1916. 15. Koch: Ztschr. f. Hyg. u. Infectionskr. 72:1, 1909.Crossref 16. Pesch, K. L., and Hoffmann, V.: München. med. Wchnschr. 75:1705, 1928. 17. Henry, Herbert; and Lacey, Margaret: J. Path. & Bact. 23:283, 1920.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1931

References