Calcium Carbonate Bile
Calcium carbonate bile, or “milk of calcium bile” as it is sometimes referred to, is a condition in which the bile becomes heavily loaded with calcium carbonate and is opaque to the roentgen ray. Because it may be mistaken for a normally functioning gallbladder and because of its relative infrequency, the following case, which presents the typical signs and findings usually found in such a condition, is reported.
The patient was a married, white woman, thirty-one years of age, who was a housewife. The chief complaint was pain in the stomach which had occurred at intervals for the two years previous to our examination. She stated that about two years ago she began to have attacks of cramp-like pain in the epigastrium, which came on after eating and were relieved by vomiting. The attacks were rather frequent at first and lasted for several hours, but were not accompanied by chills or fever. During the preceding year, the attacks had been more frequent and more severe, with continuous vomiting during these times and with inability to retain either food or water. These attacks were not related to the ingestion of food nor to the time of day. The pain was confined chiefly to the epigastrium, but at times it radiated through to the back between the shoulders and often was so severe that a hypodermic would be required to give relief. The patient had been constipated for the past ten or twelve years and used some type of laxative daily. She. . .