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Scientific paper| Volume 89, ISSUE 3, P579-582, March 1955

Bile peritonitis

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      Abstract

      The subject of bile peritonitis has been reviewed and three cases summarized. Attention is called to the seriousness of this clinical entity. It is our impression that the severe shock associated with perforated duodenal and jejunal ulcers usually can be attributed to the presence of bile in the peritoneal cavity. Early diagnosis and surgery are imperative. We wish to stress thorough peritoneal irrigation at the time of surgery, with repair and drainage of the site of bile leakage. We would suggest the use of dextran in the treatment of shock associated with bile peritonitis.
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