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Thomas McKenzie, MB, FRCS (Edin), CCFP
Swan River, Manitoba

JAMA. 1984;251(2):218.

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

To the Editor.—

Venu et al¹ referred to the numerous reports of gallbladder calculi found at surgery in patients who have had a "normal" cholecystogram or normal ultrasound examination results and drew attention to the role of endoscopic retrograde cholangiopancreatography (ERCP) when the clinical suspicion of biliary colic persists despite these normal test findings. The diagnostic yield was even more likely when the results of liver function tests were abnormal. The statement is commonplace that reliance on these new diagnostic tools should not be absolute. Increasingly, however, it is the brave surgeon indeed who rejects the tempting assurances of high technology in favor of that erstwhile staple of surgical practice—exploratory laparotomy. Yet only thus can we rescue some of our patients from wholly remediable suffering.

Report of a Case.—

A 24-year-old woman underwent cholecystectomy in December 1976. Thereafter her symptoms were limited to occasional local pain and "gas attacks" . . . [Full Text PDF of this Article]

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