Limy ductus choledochus.

Abstract

The radiographic demonstration of limy bile in the ductus choledochus is unusual. A survey of the literature fails to reveal any case in which this phenomenon has been conclusively observed. It should, however, be considered in the interpretation of any unusual shadows in the right upper quadrant of the abdomen. Case Report A 40-year-old white female was admitted to the hospital Feb. 9, 1953, complaining of pain in the right epigastrium associated with slight nausea, of approximately three months duration. The pain radiated to the right shoulder and right scapular region. Two days prior to admission, the patient had noticed that the sclerae were yellow. The family history and past history were non-contributory. An appendectomy had been performed for acute appendicitis four years earlier. Pertinent findings on physical examination were yellowness of both sclerae and tenderness over the gallbladder region. Otherwise the examination was essentially normal. Laboratory studies were reported as follows. Feb. 10...