J. WILLIAM HINTON, M.D., F.A.C.S.
Attention has been called during the past few years to the fact that heavy metals often cause acute toxic hepatitis which may produce symptoms quite similar to infection and calculi of the biliary tract. Arsenic, lead and mercury are the metals most frequently found in the hepatic changes and Vogel2 has stressed the importance of examining the urine of all jaundiced patients for arsenic. In his paper it is interesting to find that in 40 jaundiced patients 34, or 85 per cent, contained arsenic in the urine, and in 9 out of 34 cases in which arsenic and jaundice occurred
HINTON JW. Chronic Mercurial Poisoning Simulating Acute Cholecystitis and Choledocholithiasis1: (Report of a Case). Ann Intern Med. ;4:1545–1550. doi: 10.7326/0003-4819-4-12-1545
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Published: Ann Intern Med. 1931;4(12):1545-1550.
Biliary Disorders, Emergency Medicine, Gastroenterology/Hepatology.
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