This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

GEORGE CRILE, Jr., M.D.; D. W. MILLER, M.D.

AMA Arch Surg. 1951;63(5):687-694.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

POSTCHOLECYSTECTOMY colic, or biliary dyskinesia, is a poorly defined syndrome which tends to occur in nervous and hypersensitive persons and which can be diagnosed only by the exclusion of organic disease. The cause of the dyskinesia has not been established, but it is supposed by some that spasm of the sphincter of Oddi plays a part in the production of the symptoms.¹

Biliary dyskinesia may cause symptoms indistinguishable from biliary colic due to a calculus. The patient complains of intermittent attacks of colicky pain in the right upper quadrant and epigastrium which may radiate to the scapula and to the right shoulder. Nausea and vomiting frequently are associated with the attacks. Chills, fever and jaundice do not ordinarily occur.

The possibility of somatic pain as well as stone in the stump of the cystic duct, stone in the common duct, and disease of adjoining viscera (such as duodenal ulcer, . . . [Full Text PDF of this Article]

Author Affiliations
CLEVELAND

From the Cleveland Clinic and the Frank E. Bunts Educational Institute.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?