(1) We present an unusual case in which inspissated bile caused irregularity and obstruction of the common bile duct that radiographically simulated a cholangiocarcinoma.
(2) The proper interpretation of the level of block can fall prey to the mistake of incomplete aspiration of the thick, inspissated bile in the obstructed biliary tree before injection of contrast material.
(3) Cholangiograms were abnormal in 63 (80%) transplants with biliary strictures; inspissated bile formation, bile leak and T-tube malposition occurring in 50, 23, 14 and three transplants respectively.
(4) Pancreatic lesions were detected in 52 (65%) of these, and could be classified into three broad categories: acinar dilatation by inspissated secretions (24 cases), acute pancreatitis (recent or remote, 18 cases), and opportunistic infections or cancers affecting the pancreas (23 cases).
(5) Thick inspissated bile can cause intrinsic echoes in the gallbladder that can be mistaken for gallstones.
(6) All infants with either neonatal hepatitis (six) or inspissated bile syndrome (three) had demonstrable gastrointestinal excretion either on the first or second DISIDA study.
(7) These patterns appear to represent inspissated or hydrated sinus contents, respectively.
(8) Tube cholecystostomy may also be useful for irrigation of the biliary tract in infants with inspissated bile syndrome.
(9) Inspissated mucous collections that form at the tip of the SCOOP 1 (Transtracheal Systems, Denver, Colorado) catheter have been reported but are usually easily expectorated by the patient.
(10) To our knowledge, this is the first reported case in which inspissated bile appeared to be a complication of total parenteral nutrition.
(11) Focal occlusion of bronchioles with inspissated mucus, such as that associated with small airway disease, was found in 4 horses.
(12) In three cases, the obstruction was due to inspissated meconium, simulating the features of meconium ileus in one, meconium plug in the second, and associated with perforation of the terminal ileum in the third.
(13) The subnormal ionic transport leads to dehydration of extra cellular fluids and the development of thickened inspissated mucous secretions.
(14) Surgical exploration confirmed the diagnosis of extrahepatic biliary obstruction by severely inspissated bile.
(15) The ductular epithelium undergoes squamous changes and within the ductular lumina, secretions become inspissated.
(16) These strains also digest casein, liquefy inspissated serum actively and survive longer at 45 degrees C and are referred to as LC (large colony) strains.
(17) At laparotomy, thick inspissated bile was flushed from the biliary tree and prompt resolution of the jaundice followed.
(18) One individual required exploratory laparotomy, and inspissated tablets were found in the ileum.
(19) Gross findings included dehydration, subcutaneous emphysema and hemorrhage, atrophy of the thymus, fetal death with concomitant necrosis of cotyledons, thickened wall of the gallbladder, inspissated bile, edema of abomasal folds, mucoid enteritis, linear hemorrhage and edema of the rectal mucosa, and secondary pneumonia.
(20) Gallbladder distention, biliary stasis, and bile inspissation, thought to be important in the pathogenesis of this disease, are enhanced with the use of hyperalimentation, and this potential complication is being seen with increasing frequency in seriously ill or injured patients who are being fed parenterally.
Spissitude
Definition:
(n.) The quality or state of being spissated; as, the spissitude of coagulated blood, or of any coagulum.