Rubber Tube in Common Bile Duct for Twenty-Five Years

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THE following case report is believed to be of unusual interest because a rubber tube remained in the common hepatic duct of the patient for more than 25 years before it resulted in any appreciable symptomatology.

Case Report

A 57-year-old bartender was first examined at the Cleveland Clinic in January 1950 because of attacks of chills, fever, and mild intermittent epigastric pain of 4 months’ duration. There had been a weight loss of approximately 20 pounds during the same period. The patient thought he had detected blood in the urine on several recent occasions.

The past history included typhoid and malaria in childhood, syphilis in 1914 and gonorrhea in 1927. He had a cholecystectomy for gallstones in 1924 in another city. Fortunately, the other hospital keeps excellent records, and the following data concerning the operation are available:

The patient, then aged 32 years, entered the hospital on September 12, 1924, complaining of abdominal pain which had persisted for 3 days. Physical examination was negative except for the presence of tenderness and rigidity in the right upper quadrant of the abdomen. The urine was normal. A diagnosis of acute cholecystitis was made and operation performed a few hours after admission. The abdomen was opened through a vertical incision and the gallbladder wall found to be thickened, dark red in color with purple and gray patches. A stone could be felt in the region of the cystic duct. What was taken to be the cystic duct was divided, but it was recognized. . .



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