Summary
Two cases are reported. The pathology in both belongs to the group of dyssynergia. There was no definite diagnosis before either operation. Both cases called for laparotomy. In the first case, cholangiogram was done during the operation; this led to diagnosis and indicated proper treatment. In the second case, cholangiogram was not enough; determination of the emptying pressure of the gall bladder was necessary; the conjunction of both measures suggested the correct therapy.
This report only serves to stimulate interest. The nature and the classification of dyssynergia are not discussed. For such information the reader is referred to the quoted literature.
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Strelinger, A. Biliary dyssynergia: Report of two cases. Amer. Jour. Dig. Dis. 22, 345–349 (1955). https://doi.org/10.1007/BF02886464
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DOI: https://doi.org/10.1007/BF02886464