書誌事項
- タイトル別名
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- CLINICAL STUDY OF LIMY BILE
- 自験12例について
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抄録
Twelve cases of so-called limy bile experienced in our hospital were reported here.<br>They consisted of one male and 11 females with a mean age of 49 years. Either the cystic duct or the neck of the gallbladder was obstructed by an impacted stone in 8 cases and a carcinoma of the common bile duct in 1 case. There was no obstruction in the remaining 3 cases in one of which a stone was impacted in the distal part of the common bile duct; limy bile was seen in the common bile duct as well as (in) the gallbladder.<br>The main composition of the limy bile proved to be calcium carbonate and that of the impacted stone cholesterin.<br>On the ultrasonogram the limy bile gave the strong echo with the mild acoustic shadow in the gallbladder. However, it seems difficult to distinguish the limy bile from gallstones by ultrasonography.<br>On the other hand, limy bile, was clearly demonstrated as a high density area in the gallbladder on the computed axial tomogram which, we believe, is more useful for the definite diagnosis of limy bile.
収録刊行物
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- 日本消化器病学会雑誌
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日本消化器病学会雑誌 80 (2), 194-202, 1983
一般財団法人 日本消化器病学会