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Limy bile syndrome complicated by obstructive jaundice
Takamitsu Sasaki1, Daisuke Kato, Nobuhide Matsuoka
1Department of Gastroenterological Surgery, Fukuoka University School of Medicine, Nanakuma 7-45-1, Jonan-ku, Fukuoka 814-0180, Japan. takamitu@fc4.so-net.ne.jp
International Surgery
|May 20, 2010
Summary
Limy bile syndrome, a rare gallbladder condition, can cause obstructive jaundice. This case highlights successful combined treatment using endoscopic sphincterotomy and laparoscopic cholecystectomy.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
Background:
- Limy bile syndrome is a rare condition characterized by paste-like, radiopaque material within the gallbladder.
- Concurrent involvement of the common bile duct with limy bile is exceptionally uncommon.
Observation:
- A 72-year-old female presented with epigastric pain and jaundice.
- Radiography and CT revealed radiopaque material in the gallbladder and common bile duct, without prior contrast agent administration.
Findings:
- Diagnosis of obstructive jaundice secondary to choledocholithiasis, including limy bile, was established.
- The patient's condition was successfully managed through a combination of endoscopic sphincterotomy and laparoscopic cholecystectomy.
Implications:
- This case underscores the importance of considering limy bile syndrome in the differential diagnosis of obstructive jaundice.
- Combined endoscopic and surgical approaches can effectively treat complex cases of limy bile syndrome with choledocholithiasis.
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