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VISUALIZATION OF A GANGRENOUS GALL BLADDER WITH IOPANOIC ACID (TELEPAQUE)

VISUALIZATION OF A GANGRENOUS GALL BLADDER WITH IOPANOIC ACID (TELEPAQUE) Abstract RIGHT upper quadrant pain occurs frequently after the fatty meal during oral cholecystography. These symptoms usually subside but occasionally persist for more than 24 hours. In the following case, the patient's symptoms persisted until acute gangrenous cholecystitis developed. The diagnosis was suggested preoperatively by radiographs of the dye-filled gall bladder. We have been unable to find a similar case reported in the literature. REPORT OF A CASE L. A., a 52-year-old white woman, was admitted to U. S. Army Hospital, Fort Belvoir, Va., with right upper quadrant pain of four days' duration. The patient had been told three years prior to admission (after a cholecystogram in Kansas) that she had gall-bladder disease. By carefully following her diet she had been able to avoid severe attacks. One week prior to admission she reported to the outpatient clinic for a general check-up, part of which included a cholecystogram with 3 gm. of References 1. 3-(3-Amino-2,4,6-triiodophenyl)-2-ethylpropanoic acid. 2. Two egg yolks in 6 oz. of cream flavored with vanilla. 3. Hoppe, J. O., and Archer, S.: Observation on a Series of Aryl Triiodo Alkanoic Acid Derivatives with Particular Reference to a New Cholecystographic Medium, Telepaque , Am. J. Roentgenol. 69:630-637, 1953. 4. Crismer, R.: Recherches nouvelles sur la pharmacocynamie du Biselectan, son absorption intestinal, son excrétion biliare et urinaire, son comportment dans la véscicule biliaire , J. radiol. et électrol. 28:229-232, 1947. 5. Brewer, A. A.: Physiological Stasis: Cause of Cholecystographic Error , Am J. Roentgenol. 58:106-111, 1947. 6. Howard, J. M.; Milford, M. T., and De Bakey, M.: The Significance of the Sympathetic Nervous System in Acute Cholecystitis , Surgery 32:251, 1952. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

VISUALIZATION OF A GANGRENOUS GALL BLADDER WITH IOPANOIC ACID (TELEPAQUE)

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1955.01270140152027
Publisher site
See Article on Publisher Site

Abstract

Abstract RIGHT upper quadrant pain occurs frequently after the fatty meal during oral cholecystography. These symptoms usually subside but occasionally persist for more than 24 hours. In the following case, the patient's symptoms persisted until acute gangrenous cholecystitis developed. The diagnosis was suggested preoperatively by radiographs of the dye-filled gall bladder. We have been unable to find a similar case reported in the literature. REPORT OF A CASE L. A., a 52-year-old white woman, was admitted to U. S. Army Hospital, Fort Belvoir, Va., with right upper quadrant pain of four days' duration. The patient had been told three years prior to admission (after a cholecystogram in Kansas) that she had gall-bladder disease. By carefully following her diet she had been able to avoid severe attacks. One week prior to admission she reported to the outpatient clinic for a general check-up, part of which included a cholecystogram with 3 gm. of References 1. 3-(3-Amino-2,4,6-triiodophenyl)-2-ethylpropanoic acid. 2. Two egg yolks in 6 oz. of cream flavored with vanilla. 3. Hoppe, J. O., and Archer, S.: Observation on a Series of Aryl Triiodo Alkanoic Acid Derivatives with Particular Reference to a New Cholecystographic Medium, Telepaque , Am. J. Roentgenol. 69:630-637, 1953. 4. Crismer, R.: Recherches nouvelles sur la pharmacocynamie du Biselectan, son absorption intestinal, son excrétion biliare et urinaire, son comportment dans la véscicule biliaire , J. radiol. et électrol. 28:229-232, 1947. 5. Brewer, A. A.: Physiological Stasis: Cause of Cholecystographic Error , Am J. Roentgenol. 58:106-111, 1947. 6. Howard, J. M.; Milford, M. T., and De Bakey, M.: The Significance of the Sympathetic Nervous System in Acute Cholecystitis , Surgery 32:251, 1952.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Aug 1, 1955

References