ABSTRACT
Limy bile is a rare condition characterized by excessive precipitation of calcium carbonate in the gall-bladder. It has been found to cause cholecystitis without obstruction at the neck of the gall-bladder. A patient with the appearance of limy bile on ultrasound films which was consistent with a large gallstone is described. An in vitro study with gall-bladders filled with lime utilizing ultrasonography is also presented for the first time.
Subject(s)
Cholecystitis/diagnostic imaging , Adult , Calcium Carbonate/metabolism , Cholecystitis/pathology , Cholelithiasis/diagnostic imaging , Diagnosis, Differential , Humans , Male , UltrasonographyABSTRACT
Patients who develop strictures after repeated biliary surgery are a complex management problem. Reoperation in these patients, who may also have cirrhosis, portal hypertension and non-dilated ducts, is hazardous even in experienced centres. The new technique of percutaneous balloon dilatation has been used increasingly in such cases. A review of the literature and the experience with this technique in five patients with recurrent biliary strictures is presented. Its use is recommended in patients who present with recurrent problems when a previous biliary-intestinal anastomosis has failed as well as in those who develop stricture following multiple procedures involving the biliary system.
Subject(s)
Bile Duct Diseases/therapy , Catheterization/methods , Cholecystectomy/adverse effects , Bile Duct Diseases/diagnostic imaging , Bile Duct Diseases/etiology , Catheterization/instrumentation , Catheterization/standards , Cholangiography , Drainage , Female , Humans , Male , Middle Aged , Recurrence , Tissue AdhesionsABSTRACT
Endoscopic sphincterotomy is a commonly performed procedure for recurrent stones and retained stones in the common bile duct. This procedure, however, has significant morbidity and mortality. A complication, which appears to be unique, of endoscopic sphincterotomy leading to a right pneumothorax and subcutaneous emphysema is reported.
