Nomura F, Suzuki Y, Suzuki K, Yamamoto K, Ohshima H, Nakayama T, Yokosuka O, Ohnishi K, Saisho H, Ohhara K
Am J Gastroenterol. 1984 Nov;79(11):884-8.
Spontaneous disappearance of limy bile is extremely rare, and only four cases have so far been reported. This is the account of the fifth case, a 42-year-old woman, who spontaneously lost a stone incarcerated in the neck of the gallbladder and all of the limy bile, after symptoms suggestive of a transient obstructive jaundice. Various investigations including ultrasound, computed tomography, and percutaneous transhepatic cholangiography suggested spontaneous passage of the stone through the cystic duct and the papilla of Vater, followed by limy bile. Apparently the patient's gallbladder had a contracting capacity. The literature on this subject is briefly reviewed.
石灰样胆汁的自然消失极为罕见，迄今为止仅报道过4例。本文报道第5例，为一名42岁女性，在出现短暂性梗阻性黄疸症状后，胆囊颈部嵌顿结石及所有石灰样胆汁自然消失。包括超声、计算机断层扫描和经皮经肝胆管造影在内的各项检查提示，结石经胆囊管和十二指肠乳头自然排出，随后石灰样胆汁消失。显然，该患者的胆囊具有收缩能力。本文对该主题的文献进行了简要综述。
