[ @entity2679 associated with milk of XXXX ] ].

@entity1 @entity788 @entity1087 @entity2679 @entity4959 @entity158 @entity460 @entity169
Milk of @entity460 @entity2679 is a rare disease predominantely of adults. The term designates a pathologic accumulation of @entity4959 in the gallbladder, much rarer in the common bile duct as well. The @entity1 may be symptom-free. If present the symptoms may be very mild or as an acute @entity158 , transient @entity1087 and mild attack of @entity788 . @entity460 in the bile may be liquid or it may form a paste-like mass. Both may be seen on a plain X-ray of the abdomen. The stone or stones of @entity4959 may be formed so that they may cause an obstruction of the gallbladder outflow tract or cystic duct or pass into the common bile duct or into the duodenum. [figure: see text] We present a 71 year old male who was admitted for @entity169 but in whom a mild hiperbilirubinaemia was found and then on ultrasonography a gallbladder stone was diagnosed. We performed a hernia repair as well as cholecystectomy and operative cholangiography which turn to be normal. Within an almost normal gallbladder a gray-whitesh paste-like mass was found composed of @entity4959 . The postoperative recovery was uneventful and serum bilirubin become normal. Histology of gallbladder showed chronic nonspecific @entity2679 .
