Limy bile

Case contributed by Aneta Kecler-Pietrzyk
Diagnosis almost certain

Presentation

10 days history of colicky right iliac fossa pain and hematuria.

Patient Data

Age: 45 years
Gender: Male
ct
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
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Info

The gallbladder is moderately distended with multiple internal calculi outlined by homogeneous hyper-attenuating bile compatible with milk of calcium bile (limy bile). 

No evidence of nephro or uretherolithiasis. No renal tract obstruction.

Case Discussion

Limy bile (aka milk of calcium) is highly radiopaque viscous content seen within biliary system.

 

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