SPASM OF THE SPHINCTER OF ODDI; REPORT OF A CASE
Authors: Isidore Feder
Journal: Annals of Internal Medicine (1939)

Case Reports1 June 1939SPASM OF THE SPHINCTER OF ODDI; REPORT OF A CASEISIDORE FEDER, M.D.ISIDORE FEDER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-12-12-2022 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe sphincter of Oddi (sphincter choledochus) serves an important function in the regulation of the normal flow of bile from the liver into the duodenum. Recent clinical and laboratory studies have emphasized the rôle that the sphincter plays in causing pain when its normal function is disturbed. Spasm of the sphincter may produce sudden obstruction of the choledochus with a marked increase in intraductal pressure. This condition may be responsible for the initiation of attacks of severe biliary colic. Such a case is herein reported. The relevant literature is briefly reviewed.Schwegler and Boyden1, 2have shown by their fine...Bibliography1. SCHWEGLERBOYDEN RAEA: Development of pars intestinalis of common bile duct in the human fetus, with special reference to origin of ampulla of Vater and sphincter of Oddi, Anat. Rec., 1937, lxviii, 17-41. CrossrefGoogle Scholar2. BOYDEN EA: Sphincter Oddi in man and certain representative mammals, Surgery, 1937, i, 25-37. Google Scholar3. DOYON : Quoted by MELTZER, S.7 Google Scholar4. IVY AC: Etiology and therapy of biliary tract disease from viewpoint of applied physiology, Ohio State Med. Jr., 1936, xxxii, 1185-1189. Google Scholar5. BESTHICKEN RRNF: Cholangiographic demonstration of biliary dyssynergia and other obstructive lesions of gall bladder and bile ducts, Jr. Am. Med. Assoc., 1936, cvii, 1615-1620. CrossrefGoogle Scholar6. SNELLMCGOWANBUTSCH AMJMWL: Colics following cholecystectomy; probable mechanism of their production, Rhode Island Jr. Med., 1936, xix, 113-119. Google Scholar7. MELTZER S: Diseases of bile ducts and gall bladder, Am. Jr. Med. Sci., 1917, cliii, 469. CrossrefGoogle Scholar8. IVY AC: Applied physiology of sphincter Oddi, Mississippi Doctor, 1937, xiv, 1-4. Google Scholar9. MCGOWANBUTSCHWALTERS JMWLW: Pressure in the common bile duct of man, Jr. Am. Med. Assoc., 1936, cvi, 2227-2230. CrossrefGoogle Scholar10. WALTERSMCGOWANBUTSCHKNEPPER WJMWLPA: Pathologic physiology of the common bile duct, Jr. Am. Med. Assoc., 1937, cix, 1591-1597. CrossrefGoogle Scholar11. DOUBILETCOLP HR: Resistance of sphincter Oddi in the human, Surg., Gynec. and Obst., 1937, lxiv, 622-633. Google Scholar12. WEIRSNELL JFAM: Symptoms that persist after cholecystectomy; their nature and probable significance, Jr. Am. Med. Assoc., 1935, cv, 1093-1098. CrossrefGoogle Scholar13. LIPSCHUTZ EW: Biliary dyskinesia, Rev. Gastroenterol., 1938, v, 100. Google Scholar14. COLPDOUBILETGERBER RHIE: Endocholedochal section, Arch. Surg., 1936, xxxiii, 696-707. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, N. Y.*Received for publication April 18, 1938. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1939Volume 12, Issue 12Page: 2022-2031KeywordsBileClinical laboratoriesDuodenumLiverResearch laboratories ePublished: 1 December 2008 Issue Published: 1 June 1939 PDF downloadLoading ...