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ARTICLE |

A CLINICAL STUDY OF BILIARY SECRETION IN A CASE PRESENTING A COMPLETELY OBSTRUCTED COMMON DUCT

Lawrence B. Sheldon, M.D.
JAMA. 1935;104(11):915. doi:10.1001/jama.1935.92760110001010a.
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ABSTRACT

This case is of interest because it enabled me to study accurately the biliary secretion for a period of three months.

REPORT OF CASE  A white woman, aged 65, had had a cholecystectomy five years before, at which the gallbladder with several hundred small stones was removed. Following the operation she was symptom free for aboutthree and one-half years. Then for the next eighteen months she suffered from intermittent attacks of severe pains in the upper part of the abdomen. A marked jaundice and septic-like temperature as high as 104 F. was associated with these attacks. It was at this stage that the patient came under observation. A diagnosis of common duct obstruction was made. The patient was prepared for surgical intervention by the administration of calcium salts, intravenous dextrose and hypodermoclysis of saline solution. At operation a markedly dilated common duct was found with complete obstruction at

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