In 1811 Kraus of Germany describes a liver weighing 25 pounds; modern instances of enlarged liver are too numerous to be quoted here.
Rupture of the gall-bladder, although generally followed by death, is not always fatal.

In such cases bile is usually found in the abdominal cavity.

Fergus mentions a case in which, after this accident, the patient was considered convalescent and was walking about, when, on the seventh day, peritonitis suddenly developed and proved fatal in two days.

Several cases of this accident have been reported as treated successfully by incision and drainage (Lane) or by inspiration (Bell).
In these cases large quantities of bile escaped into the abdominal cavity.

Peritonitis does not necessarily follow.