Calcium milk gallbladder

Case contributed by Dr Mohammad Taghi Niknejad


Abdominal pain

Patient Data

Age: 25 years
Gender: Female

The gallbladder is of normal volume. Very dense substance is present within the gallbladder, accompanied by multiple small filling defects less than 7 mm.

Case Discussion

Typical appearance of calcium milk gallbladder also known as limy bile.

It should be reminded that, in patients with renal insufficiency, intravenously administered contrast media are often excreted through the biliary system and may get stuck in the gallbladder for a while; known as vicarious excretion of the contrast. In this case, no intravenous contrast media had been given recently. As such, calcium milk is the most probable diagnosis.

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