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Published on: June 6, 2014
[The limy bile syndrome in newborn infants. Apropos of a case]
J C Eymeri1, N Hugon, A Jouanelle
1Service de Pédiatrie, CH Trinité, Martinique.
Insights
A rare limy bile syndrome case in a 21-month-old girl highlights this uncommon pediatric condition. Diagnosis is straightforward, with surgical intervention, including cholecystectomy, being the recommended treatment.
Area of Science:
- Pediatric Gastroenterology
- Biliary System Disorders
Background:
- Limy bile syndrome is an exceptionally rare condition, particularly in infants and children.
- Literature review reveals limited documented cases in pediatric populations, with only 12 reported between ages 3-15.
Observation:
- A 21-month-old girl presented with a visibly distended gallbladder on abdominal X-ray, containing a biliary stone.
- This case highlights the potential for spontaneous gallbladder visibility in affected children.
Findings:
- The patient was diagnosed with limy bile syndrome, a condition with an unknown precise pathogenesis.
- Diagnosis was facilitated by imaging, revealing a gallstone within the visible gallbladder.
Implications:
- Early diagnosis and surgical management, specifically cholecystectomy with intraoperative cholangiography, are crucial.
- This case underscores the importance of recognizing rare biliary conditions in pediatric patients for timely intervention.
Abstract:
This is a report of a limy bile syndrome in a little girl aged 21 months, whose gall-bladder is spontaneously visible on the abdominal X Ray, with a biliary stone inside. The limy bile syndrome is very rare in infancy and childhood and is found more exceptionally in new-born. Only 12 cases were found out in medical literature among children aged from 3 to 15. The pathogenesis of the disease is unknown, but its diagnosis is very easy. The treatment is surgical and consists in cholecystectomy with per-operative cholangiography although drainage of the biliary mould can happen.
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