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- W2059344073 abstract "Forty five years after being injured by a grenade splinter a now 74-year old man suddenly developed colicky pain in the right upper abdomen, accompanied by colourless stools, jaundice and fever. The white cell count was 21,000/microliters, bilirubin was raised to 10.9 mg/dl, and ultrasound examination revealed a sharply circumscribed echo in the distal choledochal duct. Retrograde endoscopic cholangiography revealed a metal-dense concrement, presumably the nidus of gallstone formation. After endoscopic emptying of the bile duct the patient quickly improved so that cholecystectomy could be performed. The long symptom-free interval was most likely due to an at first peripheral position of the splinter in liver tissue. The secretory pressure of the liver cells then probably caused a slow migration into the choledochal duct." @default.
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- W2059344073 date "2008-03-25" @default.
- W2059344073 modified "2023-09-27" @default.
- W2059344073 title "Granatsplitter als Ursache von Cholangitis und Ikterus" @default.
- W2059344073 doi "https://doi.org/10.1055/s-2008-1066754" @default.
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