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Limy bile syndrome complicated with primary hyperparathyroidism
Yuji Takatori1, Kazuhiko Yamauchi, Yuji Negoro
1First Department of Internal Medicine, Sekizenkai Juzen General Hospital, Niihama.
Internal Medicine (Tokyo, Japan)
|February 14, 2003
Summary
Limy bile, a rare condition of gallbladder calcium carbonate precipitation, is linked to hyperparathyroidism. This case highlights obstructive jaundice with limy bile in the gallbladder and common bile duct, alongside high calcium and PTH levels.
Area of Science:
- Gastroenterology and Endocrinology
Background:
- Limy bile, characterized by calcium carbonate precipitation in the gallbladder, is a rare condition.
- Complicated hyperparathyroidism is exceptionally rare, with limited documented cases.
Observation:
- A patient presented with obstructive jaundice.
- Abdominal radiography revealed limy bile in both the gallbladder and common bile duct.
- Laboratory tests indicated elevated serum calcium and highly sensitive parathyroid hormone (HS-PTH) levels.
Findings:
- The case demonstrates a rare instance of limy bile extending into the common bile duct.
- Concurrent high serum calcium and HS-PTH levels suggest a link between hyperparathyroidism and limy bile.
Implications:
- This case expands the understanding of rare biliary conditions.
- It underscores the importance of investigating hyperparathyroidism in patients with unexplained limy bile and obstructive jaundice.