title: Limy bile: a case of obstructive jaundice and review of 26 cases.
abstract: BACKGROUND
  A number of reports on limy bile have been published but obstructive jaundice due to limy bile is quite rare. We report a case of obstructive jaundice due to limy bile and review 26 cases of limy bile diagnosed in our institution.
  
  
  METHODS
  A 39-year-old woman was admitted to our hospital with epigastric pain and jaundice. Abdominal ultrasonography and computed tomography revealed limy bile in the common bile duct and a gallbladder stone with biliary obstruction. Percutaneous transhepatic biliary drainage was performed. The limy bile drained out through the catheter over a few weeks. Cholecystectomy and choledochotomy with choledocholithotomy were subsequently performed.
  
  
  CONCLUSIONS
  The strategy for managing patients with limy bile is individualized based on symptoms, the clinical conditions, and the location of the limy bile, and any associated biliary stones or lesions causing cystic duct obstruction.
authors.affiliation: Department of Gastroenterological Surgery, Osaka City University, Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan. tsukamotot@msic.med.osaka-cu.ac.jp
authors.forename: Tadashi
authors.initials: T
authors.lastname: Tsukamoto
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ohta
authors.forename: Taichi
authors.initials: T
authors.lastname: Shuto
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hirohashi
authors.forename: Shoji
authors.initials: S
authors.lastname: Kubo
authors.forename: Hiromu
authors.initials: H
authors.lastname: Tanaka
authors.forename: Shigekazu
authors.initials: S
authors.lastname: Takemura
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kinoshita
mesh_terms: D000368:Aged; D001646:Bile / Q000737:chemistry*; D001662:Biliary Tract Surgical Procedures / Q000379:methods; D002119:Calcium Carbonate / Q000009:adverse effects / Q000032:analysis*; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D004322:Drainage; D005260:Female; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged
chemical_list: D002119:Calcium Carbonate