J.Jpn. Surg. Soc.. 59(7): 1088-1098, 1958

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ON THE STUDY OF THE AFFERENT PATHWAY IN THE GALL BLADDER AND ITS REFERED PAIN

It has long been known that there are refered pain, tenderneous point or stiffness and aching pain at the right shoulder, in the patient of cholecystitis orcholelithiasis. In my experiment, splanchinic sensory pathway from the wall of the gall bladder through the right phrenic nerve was studied electrophysiologically. Fifty dogs were used for this study and Cannon's sign was used as an indicator of pain.
Results were as follows :
1. There is a sensory pathway between the wall of gall bladder and spinal cord through the right phrenic nerve. This pathway contained the pain conducting pathway from the gall bladder which related to the right shoulder.
Left phrenic nerve is not concerned to the disease of the gall bladder.
2. My experiment confirmed the importance of relations between Scapular point (Fujita) or right shoulder stiffness and cholecystitis or other cholecysto-duodenopathies.
(author's abstract)

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