title: Limy bile syndrome complicated by obstructive jaundice.
abstract: Limy bile syndrome is a rare condition in which the gallbladder is filled with a paste-like radiopaque material. The presence of limy bile in the common bile duct is rare. A 72-year-old woman was admitted to our hospital with epigastric pain and jaundice. Plain abdominal radiography on admission showed a radiopaque material in the gallbladder. Computed tomography also showed that the gallbladder and the common bile duct were filled with a radiopaque material. The patient had never received any cholecystographic contrast agents. As a result, a diagnosis of obstructive jaundice due to choledocholithiasis, which includes limy bile, was made. We herein report the process by which limy bile syndrome, complicated by obstructive jaundice, was successfully treated through combined treatment via endoscopic sphincterotomy and laparoscopic cholecystectomy.
authors.affiliation: Department of Gastroenterological Surgery, Fukuoka University School of Medicine, Nanakuma 7-45-1, Jonan-ku, Fukuoka 814-0180, Japan. takamitu@fc4.so-net.ne.jp
authors.forename: Takamitsu
authors.initials: T
authors.lastname: Sasaki
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kato
authors.forename: Nobuhide
authors.initials: N
authors.lastname: Matsuoka
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yamashita
mesh_terms: D000368:Aged; D001646:Bile / Q000737:chemistry*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D002765:Cholecystography; D042883:Choledocholithiasis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D016717:Sphincterotomy, Endoscopic; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography