𝔖 Bobbio Scriptorium
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In vitro investigation of the origin of echoes within biliary sludge

✍ Scribed by Roy A. Filly; Bruce Allen; Michael J. Minton; Robin Bernhoft; Lawrence W. Way


Publisher
John Wiley and Sons
Year
1980
Tongue
English
Weight
797 KB
Volume
8
Category
Article
ISSN
0091-2751

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✦ Synopsis


Abstract

To investigate the origin of echoes from β€œbiliary sludge,” concentrated bile and bile from 5 patients with ultrasound findings of biliary sludge were examined in a tissue‐equivalent phantom before and after filtration through progressively smaller pore sizes. Filtration converted echogenic bile to echo‐free bile. Examination of the filtration residue by light microscopy established that the source of echoes in biliary sludge was particles, predominantly pigment granules, with lesser amounts of cholesterol crystals. Partial chemical characterization by determination of vulnerability to different solvents verified that the sludge was mainly calcium bilirubinate.


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