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• W2016853650 abstract "A hunter treed by his prey, Francis Glisson (1597-1677) probably had little idea that his excruciating abdominal pain was caused by a distended and obstructed gallbladder, in principle the same kind of agony caused when the liver capsule that commemorates his name is distended with parenchymal or neoplastic disease. At the time the only comment Glisson was known to have uttered was that the pain was so severe that ‘There is no relief except by death’. Centuries later Sir Walter Scott in vain rubbed searing hot salt on his chest for the same problem. Modern patients sometimes hang by their fingers from a door-top. All these unfortunates are likely to have been suffering from the same kind of physiological abnormality: namely, a stone impacted in the internal orifice of the cystic duct, confounding the effort of the smooth muscle of the gallbladder to expel it-like bladder spasms in a patient with blood or a bladder stone obstructing the urethra. Although many surgical residents and some of their superiors speak of a patient’s suffering from acute cholecystitis, when he or she really has only biliary colic, the difference is great (Diehl et al, 1990). Injection of a narcotic relieves biliary colic and aborts the attack. Biliary colic itself is never an emergency. Acute cholecystitis often requires drainage or removal of the gallbladder and can be lethal, even if it is less painful than biliary colic." @default.
• W2016853650 created "2016-06-24" @default.
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• W2016853650 date "1992-11-01" @default.
• W2016853650 modified "2023-09-23" @default.
• W2016853650 title "Gallstones: role of surgery" @default.
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• W2016853650 doi "https://doi.org/10.1016/0950-3528(92)90051-f" @default.
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