Biliary calculi.

McNutt, William Fletcher, 1839-1924.

Journal : The Western Lancet ; vol. vii.

San Francisco : A. Roman & Company, 1878.

Description : [1 l.] pl, [207]-208 p. ; ill.: 1 phot. ; 23 cm.

Photograph : photograph of specimens (unverified).

Photographer : Vaughn.

Subject : Colon — Gallstone ileus.

Notes :

• Author caption: By W. F. McNutt, M. D., Etc., Etc.
• Surgeon in the U.S. Navy, 1863-1864.
• Professor, principles and practice of medicine, U. of Cal. Med. Dept., 1879-1899.
• Professor, diseases of the heart and kidneys, 1894-1898.
• Director, state prison, 1878-1882.
• Author, (1893), Disease of the Kidneys and Bladder. Phila.: Lippincott.
• Photographer's name identified on page 274.
• Photo caption: BILIARY CALCULI W. F. McNutt M. D.
• Index Medicus: 10206131850.

The clinical history of a Biliary Calculus, of such an enormous size as the one represented by the accompanying photograph (photograph shows the natural size of the concretions), will, I am sure, be of interest to the profession. — Page 207.

McNutt was perplexed by the appearance of such a large gallstone in the colon as the one reported here, but it is now known to occur through cholecystocolic fistula and usually within the elderly female population. He does not provide the age of his patient, who was also suffering from uterine fibroids, but McNutt notes that in 1876, while traveling in Vermont, she was attacked by severe pain in her hepatic region.