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JOHN L. KEELEY, M.D.; ARNE E. SCHAIRER, M.D.

AMA Arch Surg. 1957;75(1):21-27.

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

A recent report¹ has emphasized the small number of cases of intrahepatic cholangiojejunostomy recorded since Longmire and Sanford² introduced this procedure in 1948. Its authors have summarized 28 cases, 19 procedures having been carried out for benign obstruction and 9 for malignant obstruction. We wish to report an additional instance of the use of this operation. At first a benign process was thought to be obliterating the common bile duct, but at autopsy, 11 months later, primary adenocarcinoma of the intrahepatic bile ducts was shown to be the cause of obstruction. The operation completely relieved the jaundice. The cause of death was hemorrhage from esophageal varices.

Report of a Case

A 64-year-old widow was admitted to the hospital Jan. 3, 1954, because of intermittent distress in the upper part of the abdomen for 20 years. There was evidence of cholelithiasis. There was no jaundice. On Jan. 8 a . . . [Full Text PDF of this Article]

Author Affiliations
Chicago

From the Departments of Surgery, Stritch School of Medicine of Loyola University and South Shore Hospital.

Footnotes
Submitted for publication Feb. 26, 1957.

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