New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1886-03-01
TAKEN FROM THE COMMON DUCT
SURGICAL SKILL SAVES A wOMANs LIFE.

HER MYSTERIOUS sICNNEsS-RTCOvKEING AFTER
THE OPERATION.
Mary Koran, widow, fifty years old has
been sick for about year aud half Tier Hment mas
puzzled many physcians. At first when she was taken
sick she had generality of symptoms that she was
gwen the credit Of having almost any disease that
might he named She had little pain that could be local
zed her whole body seemed 20 be generally affected
by her trouble She would he exceedingly sick at times
and this would followed by period of improvement
that would give rise the belief that she wOud soon he
we'll when relapse would sudIculy OH, and she
would be worse of tEaI ever. She was all the
time gradually growing weaker, losing flesh, vitality and
courage. 10 bring relief, she sought private medical
advice but the treatment That she received had only
temporary eo ct upon her She kept in tins for
over year, and was then broken down IN body and
her mind showed the reflex action OF hey inGrmy. She
went TO the NewNOrk Hospital but obtained no relief,
and after several weeks she went away without any
improvement. She suffered great deal after she left
the hospital slight swelling appeared on her right
side, just under the ribs. that exceedingly painful
under pressure and she frequently attacked by Sc
and prostratins fevers to ST. Vincenrs
Hospital but she got no Better after several weeks
treatment. she became discouraged and went aw y
She finally to ST. Ezabcths Hospital, No 223
West Thirty frstst. She emaciated, her strength
nearly and she dependent. This was
about three ago. She had been In the hospital
only ~ little while when her skin took Yeowsh
tinge, which gradually decpcne aud the conclusion
reached that she had the iaundicc and that II was
caused by obstruction in the Bile ducts which pre-
vented the free circulation Of bile In its natural channel
and diverted into the blood. II determined thpt
the only chance that there OF saving the patients
life to open the abdominal cavity, search for the
obstruction In tho hillary chanues AMI remove IT, If
possible The pltcnt WAS put 0na course OF preliminary
treatment, principally tOnics prepare the system
for the great shock 1t would have TO sustain. After
ths had been kept up for week she considered
De in favorable condition, and on last Tuesday alter
she taken to the Opordtingroom In the hos
pital.
DR. J. J. Keanc. young man, did tho surgical work in
the presence of Il number OF weknown physicians. VINO
were Interested III the case. AFTER the patient had beeh
anIsIhetizcd minute examination WAS made to dis-
possible, the location Of the INSTRUCTION. but
without success the surgeon then made all inclson III
the right side, brgnnin: Just under The RIBS ana running
down III straight line five inches The abdonina " II
was unusually thick for person 20 emaclI eu Alter
the wall had been opened aud IN" sides OF the nc,ioh
pred apart the galI bladder Was found To be s"oiIei
To i've tEes - natural sHr IN ls CROWN ha, usheu
aside the loDcS OF the liver aud, coming between
them, had pressed agai 81 the abdominal wall
rms Had caused inc SWrIIlng upou the rlEht siuV'
The point OF aSprator forced into the ta hiad-
der, Hsls contents were evidently OF Idd cnafhclrr
ana the liqWd Was taken away mere were ABOUT 81
jeeu ounces Of II. 1t was O pecniiar ght color ana
strange fact that II had none OF the properties OF
bile When tic gail bladder was entirely drained AN Ia
clsion made running rs entire length. 1t was cH,
explain the difficulty, hut dIIigcnt search reVcaei
noihing. Inc exploration was continued after the
heiuurrhagc had been controlled.
The cystic duct, runuine from tho gall bladder ana
the hypac duct, which carries tn" bile from the Vtr
were examined, but no foreign body was found These
two ducts after they leave the liver and gall
bladder. ana form what called the common
duet RIGHT at the point Of union llttle round sub
stance discovered BY gentle manipulation IT was
slowly forced through the ystic mo the gall bad
der and then taken nut OF the BODY. II WAS not
much more than quarter or an inch IN diameter nut
was large enough 10 prevent the hllc from hnwine
through the common duct and wOult ultimately nave
caused de.th. The gall bladder thoroughly washed
with Splul OF bIcOrIdc Of mercury, the lucihl"n
up. aud returned Z" i- proper position
back Of the aver. After all irritating Sn'H"nc"s hhi
been removed from the pcrltoncum II was united WIN
gait ana tho abdominal iucl~on was closed
wHh corded silk. Autlscptc dressings were band tged
upon the wound and the patient NaS taken To her COZ"
where under the influence OF stuultut- ana narcotics
she rallied from the shock OF the operation. To the sur
prise of every the patient has steadily improved
Wuun gal bladder breu Cru~ii red fatal
beng hut f-w eases Of recovery recorded. iHe
Dire dcd pcrOnit. yet app arrd Iad nc patient
is considered 10 he out OF danger. Inc JaunGce has en-
tiTcy disappeared