Schierholt K D
Rofo. 1977 Jul;127(1):26-9. doi: 10.1055/s-0029-1230651.
Since 1937 we have seen 43 cases of limey bile. The clinical and radiological features and pathological and chemical characteristics are described. Radiological investigation is essential for diagnosis. There are no characteristic clinical findings. Pathologically, the gall bladder shows mild inflammatory features with occlusion of the cystic duct, the gall bladder containing calcium-rich white bile. Calcium carbonate exists as a crystalline or amorphous sediment. The calcium carbonate excretion has not resulted in stone formation. Limey bile is produced by the gall bladder in the gall bladder mucosa. The reason for the high calcium carbonate content and for the crystalline form is unknown. In our experience limey bile is not an early stage in the formation of gall stones, nor does it result from a calcified gall bladder empyema. Limey bile must be considered as a parallel process to the formation of calcium carbonate stones.
自1937年以来，我们共诊治了43例石灰样胆汁病例。本文描述了其临床、放射学特征以及病理和化学特性。放射学检查对诊断至关重要。本病无特征性临床表现。病理检查显示，胆囊呈现轻度炎症特征，胆囊管闭塞，胆囊内含有富含钙的白色胆汁。碳酸钙以结晶或无定形沉淀物的形式存在。碳酸钙的排泄并未导致结石形成。石灰样胆汁由胆囊黏膜在胆囊内产生。碳酸钙含量高及呈结晶形式的原因尚不清楚。根据我们的经验，石灰样胆汁并非胆结石形成的早期阶段，也不是由钙化性胆囊积脓所致。石灰样胆汁必须被视为与碳酸钙结石形成并行的过程。
