Original article| Volume 27, ISSUE 1, P135-138, January 1935

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Acute gall-bladder disease

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      • 1.
        1. Two hundred cases of acute cholecystitis have been reviewed showing a mortality of 11.5 per cent.
      • 2.
        2. A leucocyte count of over 10,000 generally means an acute condition. If above 15,000 one can expect an empyema, and over 18,000 gangrene of the gall bladder.
      • 3.
        3. If the “acute indigestion” is not relieved within forty-eight hours and the temperature rises, or the leucocyte count goes up, where there is local tenderness over the gall-bladder area with or without rigidity, operation should be done.
      • 4.
        4. A chronic or recurring case of cholecystitis, with or without stone, should not go so long, as shown by the results of delay.
      • 5.
        5. The type of operation, when possible, should be cholecystectomy.
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