title: Limy bile syndrome complicated with primary hyperparathyroidism.
abstract: 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.
authors.affiliation: First Department of Internal Medicine, Sekizenkai Juzen General Hospital, Niihama.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Takatori
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Yamauchi
authors.forename: Yuji
authors.initials: Y
authors.lastname: Negoro
authors.forename: Kenichi
authors.initials: K
authors.lastname: Noro
authors.forename: Akio
authors.initials: A
authors.lastname: Yoshida
authors.forename: Wakako
authors.initials: W
authors.lastname: Nanamiya
authors.forename: Mamoru
authors.initials: M
authors.lastname: Tamai
authors.forename: Takashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Yukio
authors.initials: Y
authors.lastname: Yamane
authors.forename: Shintaro
authors.initials: S
authors.lastname: Akamoto
authors.forename: Norikazu
authors.initials: N
authors.lastname: Suzaki
authors.forename: Akinori
authors.initials: A
authors.lastname: Sasaki
mesh_terms: 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
chemical_list: D010281:Parathyroid Hormone; D002119:Calcium Carbonate; D002118:Calcium