Cholecystitis, cholelithiasis with removal of two hundred and sixty-five gall stones / by George I. Miller.

  • Miller, George I.
Date:
1909
Catalogue details

Licence: In copyright

Credit: Cholecystitis, cholelithiasis with removal of two hundred and sixty-five gall stones / by George I. Miller. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    y 0/ /l [ASf^wr CHOLECYSTITIS, CHOLELITHIASIS WITH REMOVAL OF TWO HUNDRED AND SIXTY-FIVE GALL STONES.* BY GEORGE I. MILLER, M.D. Instructor in Operative Surgery, New York Post-Graduate Medical School and Hospital; Surgeon to St. Mark’s and People’s Hospitals, New York; Jewish Hospital, Brooklyn. Mrs. N., a married woman, 25 years of age, was referred to me by Dr. Kurzweil, of Manhattan. History.—Her family history was negative. She had sus- tained the ordinary diseases of childhood. Menstruation ap- peared at the age of 16 and was always regular and painless. She was married at the age of 20; had two normal labors. Her last child was born 15 months ago. No miscarriage. Had no typhoid fever. Has always lived a simple life and dressed in plain clothes and fashion. Tight-lacing she never indulged in and was not of a sedentary habit. She was always careful with her diet, because she suffered a great deal of flatulence and tenderness at the pit of the stomach. During the past two years she has had repeated attacks of pain in the epigastrium which radiated toward the gall bladder. These attacks would last for from one to two hours and oc- cur from one to six times a year. These sudden attacks of pain occurred mostly at night and were considered gas- tro-intestinal disturbance due to indigestible food and lack of digestive power. She was never jaundiced. Three months ago she had a severe attack of pain in the right hypochondrium. The pain was excruciating in character for about three hours and the patient remained in bed for about a week. The urine was very dark in color; the stools were not observed. She had three similar attacks since. Three weeks ago she had an attack which lasted about a week. Patient never vomited; never had chills nor felt feverish, nor did she ever suffer from pruritis. * Read before the Surgical Society of Brooklyn, N. Y., October 7, 1909, and before the New York Post-Graduate Clinical Society, October 15. 1909. Reprinted from the POST-GRADUATE for December, 1909.