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CALCULI IN A DILATED STUMP OF THE CYSTIC DUCT, PREOPERATIVE VISUALIZATION

Michael Weingarten, M.D.
JAMA. 1951;145(3):157-159. doi:10.1001/jama.1951.72920210001007.
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In 1936, H. L. Beye,1 in a discussion of the conditions necessitating surgery after cholecsytectomy, reported on a group of 14 patients who were found to have a dilated cystic duct stump. The pouch thus formed varied from 1 to 2 1/2 inches (2.5 to 6.4 cm.) in length and was of an average caliber of the little finger. Four of the patients had stones within the dilated stump of the cystic duct. All had had painful seizures which were either identical with or very similar to those experienced prior to cholecystectomy. Beye emphasized the necessity for careful probing of the stump of the cystic duct through the incised common duct in order to discover this condition, which he called a "reformed gall bladder." In 1946, Peterson2 reported on 42 patients who after cholecystectomy were found to have a pouch consisting of a portion or all of the

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