If before opening the gall-bladder the surface is stitched to the deepest part of the abdominal wound, the biliary fistula left as the result of the opening of the abscess will close in due course.
Abscess of the Gall-bladder gives rise to a painful, tender swelling near the cartilage of the ninth rib of the right side.
No reliance can be placed upon massage in producing the onward passage of a gall-stone from the gall-bladder towards the intestine.
Stones in the gall-bladder should be removed by operation, as, if left, there is a great risk of their trying to escape with the bile into the intestine and thus causing a blockage of the common bile-duct, and perhaps a fatal leakage of bile into the peritoneum through a perforating ulcer of the duct.
These Trematodes occur in the alimentary canal and adjacent organs of Mollusca, the gall-bladder of Chimaera, and the intestine of Chelonia and of certain fish.
In other cases gall-stones set up irritation in the gall-bladder which runs on to inflammation, and the gall-bladder being infected by septic germs from the intestine (bacilli coli) an abscess forms.
The Gall-bladder may be ruptured by external violence, and if bile escapes from the rent in considerable quantities peritonitis will be set up, whether the bile contains septic germs or not.
Abscess in the gall-bladder being suspected, an incision should be made down to it, and, its covering having been stitched to the abdominal wall, the gall-bladder should be opened and drained.
The presence of concretions in the gall-bladder may not only lead to the formation of abscess but also to invasion of the gall-bladder by cancer.
If the gall-bladder was swollen, it pointed to an extension or enlargement of some kind.