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Biliary colic after micro dieting.
  1. N. J. Green,
  2. G. A. Fowlis,
  3. S. J. Chadwick
  1. Department of Surgery, Northwick Park Hospital, Harrow, Middlesex, UK.


    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.

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