米汤样“乳糜状”胆汁：无明显因胆结石导致的胆囊梗阻。

Limy 'milky' bile: without apparent gall-bladder obstruction by a gallstone.

作者信息

Vitetta L, Stubbs A, Purser S, Millar K, Sali A

机构信息

University of Melbourne, Department of Surgery, Repatriation General Hospital, Heidelberg, Victoria.

出版信息

Aust N Z J Surg. 1987 Jun;57(6):405-8. doi: 10.1111/j.1445-2197.1987.tb01385.x.

DOI:10.1111/j.1445-2197.1987.tb01385.x

PMID:3675396

Abstract

Limy bile, characterized by excessive precipitation of calcium carbonate, is an uncommon complication of gallstone disease, and is a condition that seems to follow gall-bladder obstruction. Limy bile was observed at cholecystectomy in a 57 year old woman who presented with biliary colic. At operation a mass of precipitated cohesive crystals, that had coalesced into a whitish paste of calcium carbonate, was observed obstructing the outlet of the gall-bladder. This case report is unique in that calcium carbonate precipitation appears to have preceded gall-bladder obstruction.

摘要

石灰样胆汁以碳酸钙过度沉淀为特征，是胆结石疾病的一种罕见并发症，似乎是胆囊梗阻后的一种病症。在一位因胆绞痛就诊的57岁女性行胆囊切除术时观察到了石灰样胆汁。手术中发现一团沉淀的粘性晶体，它们聚合成了碳酸钙白色糊状物，阻塞了胆囊出口。该病例报告的独特之处在于碳酸钙沉淀似乎先于胆囊梗阻出现。