Case 47-1968

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Abstract
Presentation of Case First admission. A forty-two-year-old woman was admitted to the hospital because of jaundice and persistent pain in the right upper quadrant of the abdomen.For six years she had had "gas pains" intermittently. Eighteen months previously she was admitted to another hospital because of epigastric distress. An oral cholecystographic study was said to show a gallstone; at laparotomy the liver was firm, nodular and slightly enlarged, and the spleen was three to four times the normal size; the gallbladder was thickened but contained no stones; cholecystectomy was performed. Biopsy of the liver revealed postnecrotic cirrhosis; biopsy . . .