Abstract
Introduction
Infection has been known as a factor for mixed gall stone formation. Welch and Richardson1 observed E.Coli and typhoid bacilli in gall stones. Schistosoma and Ascaris ova have also been frequently noted in centre of gall stones. Infection with E.Coli leads to hydrolysis of conjugated bilirubin to free bilirubin leading to precipitation of bilirubin and subsequent gall stone formation. Gall stone culture and bile culture is suitable method for demonstrating viable bacteria in patients undergoing cholecystectomy.
References
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Corresponding Author
Dr O.K. Maurya
M.B.B.S.; M.S.(General Surgery); D.A.,
Associate Professor, Department of Surgery,
Nalanda Medical College & Hospital, Patna
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.180
