Limy bile syndrome complicated with primary hyperparathyroidism.
Limy bile is a rare condition characterized by excessive precipitation of calcium carbonate in the gallbladder. Cases of complicated hyperparathyroidism are extremely rare. There is only one reported case, where serum and urine calcium levels were high. On the other hand, the presence of limy bile in the common bile duct is also very rare, and has been reported in only 20 cases. We report a patient with obstructive jaundice in whom the initial abdominal radiography showed limy bile in the gallbladder and common bile duct, and laboratory values showed a high serum calcium level and highly sensitive PTH (HS-PTH) level.
Takatori
Yuji
Y
First Department of Internal Medicine, Sekizenkai Juzen General Hospital, Niihama.
Yamauchi
Kazuhiko
K
Negoro
Yuji
Y
Noro
Kenichi
K
Yoshida
Akio
A
Nanamiya
Wakako
W
Tamai
Mamoru
M
Kobayashi
Takashi
T
Yamane
Yukio
Y
Akamoto
Shintaro
S
Suzaki
Norikazu
N
Sasaki
Akinori
A
D000368:Aged; D001646:Bile / Q000737:chemistry*; D002118:Calcium / Q000097:blood; D002119:Calcium Carbonate / Q000032:analysis*; D002769:Cholelithiasis / Q000150:complications / Q000175:diagnosis / Q000378:metabolism; D002779:Cholestasis / Q000150:complications* / Q000175:diagnosis / Q000378:metabolism; D006801:Humans; D006863:Hydrogen-Ion Concentration; D006961:Hyperparathyroidism / Q000150:complications*; D008297:Male; D010281:Parathyroid Hormone / Q000097:blood; D013577:Syndrome
D010281:Parathyroid Hormone; D002119:Calcium Carbonate; D002118:Calcium