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ARTICLE |

CHRONIC PERICHOLECYSTITIS WITH MARKED GASTRIC SYMPTOMS

JOHN W. CHURCHMAN, M.D.
JAMA. 1919;72(1):17-19. doi:10.1001/jama.1919.02610010023005.
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ABSTRACT

The fact that inflammatory affections of the gallbladder, and stones in the gallbladder, are associated with gastric symptoms is sufficiently appreciated; but a series of cases recently seen in the New Haven Hospital has led me to doubt whether the association of marked and almost exclusively gastric symptoms due to inflammatory conditions about the gallbladder (with resultant adhesions in its neighborhood) has been sufficiently well recognized.

The complaints of the five patients here reported were almost entirely referred to the stomach, and they were of so severe a degree as to cause insistence in every case on operative intervention. In every case the freeing of the adhesions in the neighborhood of the gallbladder, and cholecystectomy, have resulted in prompt and complete relief.

It is certainly true that much has been said and written concerning abdominal adhesions that is not justified by wide experience in surgery for one often meets well

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