Cholecystitis Due to Liver Fluke *Report presented to Truro Medical Society on 1st February, 1949.

Mrs. C. aged fifty, of Cornish origin, who had never lived outside England, was admitted to the Redruth-Camborne hospital suffering from severe recurring upper abdominal pain. For two years previously she had complained of vague epigastric discomfort and flatulence. For the past six months the pain had become colicky in character, increasing in severity and frequency and localized in the right hypochondrium. On examination, there was well-defined tenderness with muscular guarding over the right upper rectus. X-ray showed a poorly functioning gall-bladder: no calculi were seen. Blood findings were leucocytes 16,000, otherwise normal (eosinophils 2 per cent). Diagnosis?Cholecystitis. Operation. There were dense adhesions between the gall-bladder and the adjacent viscera. The gall bladder was normal in size, white and opaque. The walls were thickened by fibrous tissue and deposits of fat. There were two equally developed cystic ducts, one being continuous with the neck, the other arising a short distance