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INTRAHEPATIC CALCULUS AND ABSCESS

HERBERT F. NEWMAN, M.D.
AMA Arch Surg. 1956;73(1):185-186. doi:10.1001/archsurg.1956.01280010187026.
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LIVER abscesses are not uncommonly the sequelae of cholangitis due to extrahepatic calculus obstruction. However, the conjunction of abscess and intrahepatic stone is rare. In a recent review,1 only 29 cases had been reported in the world's literature to 1952. Of these, 12 received definitive therapy in the form of surgical drainage, with 5 surviving operation. The sixth such case is the subject of this communication.

A 38-year-old white married woman was admitted to the Manhattan General Hospital on Oct. 10, 1955. She complained of epigastric pain of four days' duration. The pain was continuous in character, with minor exacerbations and remissions. It did not radiate and was unaccompanied by nausea, vomiting, or bowel change. A daily temperature rise to 102 F without chills was noted. There were no symptoms referable to other portions of the body. She had had a salpingectomy for tubal pregnancy in 1940. There was

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