White bile in the common bile duct

Clinical significance of white bile in the biliary tree.

“…With the exception of the paper by Judd and Lyons (1923) previous reports on white bile dealt either with a single patient (Edington and McCallum, 1930;Lake, 1934;Flint, 1937;Griffiths, Haber, Rees, and Smith, 1963;Bouchier and Cooperband, 1965), or with several patients (Aronsohn, 1936;Hawthorne and Sterling, 1955), or with experiments carried oult in animals (Rous and McMaster, 1921;McMaster, Broun, and Rous, 1923;Cameron and Oakley, 1932;Aronsohn, 1935;Haber and Rees, 1963). These reports contain certain generalizations about the possible clinical significance of white bile.…”

“…These reports contain certain generalizations about the possible clinical significance of white bile. It could be assumed that it is found most frequently in those obstructions due to stone (Flint, 1937;Hawthorne and Sterling, 1955) or either stone or stricture (Judd and Lyons, 1923); that it will be found only when the gall bladder is either distal to the obstruction or when it is not functioning (Rous and McMaster, 1921;McMaster et al, 1923;Judd and Lyons, 1923;Lake, 1934;Griffith et al, 1963); that it occurs only when there is infection in the fluid (Aronsohn, 1935 and1936); that total obstruction is always present (Aronsohn, 1936); and that it signifies severe liver damage and a grave immediate prognosis (Flint, 1937). In this paper we report the findings in nine patients admitted to Prince Henry Hospital each with obstructive jaundice and each with clear, colourless, watery fluid in the biliary tree.…”

Granular Cell Tumor of the Biliary Tree: A Rare Cause of Limy Bile

“…Chronic cholecystitis has been found consistently, leading to the hypothesis that abnormal secretion by the gallbladder mucosa is a con tributing factor [10]. In addition, the high content of bicarbonate in liver bile, together with a change in bile pH toward alkalinity, may facilitate limy bile formation [11], A combination of all these factors may have con tributed to the formation of limy bile in our patient, but obstruction was obviously present.…”

Non‐radiation endoscopic retrograde cholangiopancreatography in the management of choledocholithiasis during pregnancy

“…For the second step, mistakes may be made in judging the color of aspirated fluid. In some cases of severe CBD obstruction, colorless transparent fluid may occasionally be observed …”

“…In some cases of severe CBD obstruction, colorless transparent fluid may occasionally be observed. 72,73 This technique has several limitations. First, although stone extraction can be assessed by normalization of laboratory parameters or clinical findings, 12 it can be difficult to confirm complete stone clearance without the use of fluoroscopy.…”