석회유담즙의 (石灰乳膽汁)

The earliesi zeport of curious deposition of calcium salts within the gallbladder was made by Churchman in 1911. In 1926, Volkmann reported two cases and first used the term Kalkmilchgalle or milk of calcium bile. Milk of calcium bile is a relatively rare disease, and has never been reported in Korea. A 4()-year-old male was admitted to the Severance Hospital rith chief complaint of dull pain in R.U.Q. of 3 monthi duration under the clinical impression of chronic cholecystitis due to gallstone. Oral cholecystogram revealed well opacified gallbladder showing a variety of shape with the change of the position of the patient. A visible gallbladder of calcium density on upper G.I. Series taken 2 days later and repeated plain films of the abdomen successively taken aroused a suspicion of milk of cacium bile. The plain film of the abdomen taken about one month after discharge to confirm the visualization of gallbladder without cholecystography still showed similar findings of opacified gallbladder, with multiple radiolucency suggesting the presence of gallstones in the cystic duct and gallbladder by which preoperative diagnosis of milk of caIcum bile could be made with certainty.