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When peritoneum v,as opened adhesions were found behind the peritoneum and gastrocolic side omentum; continuing the separation of adhesions at this region I evacuated a quantity of foul-smelling pus; perforations were found in the fundus of the gall-bladder, as well as perforations off through the gallbladder into the liver; the gall-bladder was so necrotic and gangrenous that I determined to do a cholecystectomy.

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