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Limy bile syndrome

C L Fowler1, H Soriano, G D Ferry

  • 1Division of Pediatric Surgery, University of Kentucky Medical Center, Lexington 40536-0084.

Journal of Pediatric Surgery
|December 1, 1993
PubMed
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Limy bile syndrome (LBS) is a rare condition characterized by calcium carbonate precipitation in bile, often linked to biliary obstruction. It may be a long-term complication of total parenteral nutrition.

Area of Science:

  • Gastroenterology
  • Radiology
  • Biliary Medicine

Background:

  • Limy bile syndrome (LBS) is a rare clinical entity.
  • Characterized by radiopaque gallbladder and/or bile ducts on plain roentgenograms.
  • Associated with distal biliary tract obstruction.

Observation:

  • Calcium carbonate precipitation within bile is the primary cause of LBS.
  • The exact etiology remains unclear.
  • Potential link to long-term total parenteral nutrition (TPN).

Findings:

  • Radiopaque gallbladder and bile ducts on X-rays indicate LBS.
  • Bile composition changes leading to calcification.
  • Association with obstruction in the lower biliary tract.

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Implications:

  • Highlights the importance of recognizing LBS in clinical practice.
  • Suggests TPN as a potential risk factor requiring further investigation.
  • May prompt further research into the pathophysiology and management of LBS.