Limy Bile Syndrome on POCUS
You are performing a POCUS GB exam on elderly woman and notice the following in the GB lumen (hyperechoic layer with posterior shadowing). What is it? Sludge?
Answer: Milk of calcium bile-also known as limy bile. Pasty, semisolid substance-Ca carbonate. Usually associated with GB stasis.Rarely known to cause cholecystitis or move into CBD.
CT Correlate: https://twitter.com/RJonesSonoEM/st
Dr. Robert Jones @RJonesSonoEM
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