The emergence of biliary sludge, a new clinical entity
R. Thomas Holzbach – 1 July 1988 – Biliary sludge is a collection of mucus, calcium bilirubinate, and cholesterol crystals that is usually recognized by characteristic echoes on ultrasonography. Its pathogenesis, clinical significance, and ultimate prognosis remain uncertain. We therefore studied the origin of biliary sludge ultrasonic echoes, using an ex vivo liver‐gallbladder preparation, and determined the outcome of a group of patients identified to have gallbladder sludge by ultrasonography.