Biliary colic after micro dieting.
A 33 year old man presented with biliary colic and transient obstructive jaundice. In the 4 weeks preceding admission he had been taking a very low calorie diet (the Cambridge Diet) and celebrated achieving his target weight with a fatty meal on the morning of admission. An ultrasound of the gallbladder suggested biliary sludge. We suggest that he developed the biliary sludge as a consequence of calorie restriction and that, following the fatty meal, the gall bladder contracted causing biliary colic and transient obstructive jaundice.
Green
N J
NJ
Department of Surgery, Northwick Park Hospital, Harrow, Middlesex, UK.
Fowlis
G A
GA
Chadwick
S J
SJ
D000328:Adult; D001660:Biliary Tract Diseases / Q000209:etiology*; D003085:Colic / Q000209:etiology*; D004038:Diet, Reducing / Q000009:adverse effects*; D006801:Humans; D008297:Male