Unenhanced Computed Tomography to Identify Intrahepatic and Extrahepatic Limy Bile

Peroux, É.; Geffroy, Y.; Potet, Julien

doi:10.1016/j.cgh.2011.10.027

Cited by 3 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The preoperative diagnosis of LBS could be done with abdominal X-ray/CT scan [ 8 ] while abdominal ultrasound is much less specific, but could reveal the concomitant cholelithiasis and its potential complications. Considering the higher frequency of LBS among young female, abdominal X-ray/CT scan are often avoided, leading to the possibility of an intraoperative diagnosis by checking the gallbladder content, as in our specific report.…”

Section: Discussionmentioning

confidence: 99%

Post-pregnancy recurrent biliary colic with intraoperative diagnosis of limy bile syndrome

Migliore

Giraudo

Gianotti

et al. 2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Introduction Limy bile syndrome (LBS) is an unusual condition in which gallbladder and/or bile ducts are filled with paste-like radiopaque material with a high calcium carbonate content. It can be rarely associated with PTH disorder and hypercalcemia. Presentation of case A 35-year-old woman presented with epigastric and right hypochondrium pain since a few hours. Similar attacks occurred in the past months soon after a pregnancy with vaginal delivery. Laboratory findings were not significant. The abdominal ultrasound highlighted a micro-lithiasis of gallbladder without complications. Considering the recurrent biliary attacks, laparoscopic cholecystectomy was performed with intraoperative diagnosis of LBS. A subsequent endocrinological screening highlighted a normocalcemic hyperparathyroidism associated with Vitamin D deficiency, likely related to the recent pregnancy and not to LBS. Discussion LBS is a rare condition with not clear etiology, frequently associated with cholelithiasis, of which it shares clinical presentation and potential complications. Diagnosis of LBS is based on abdominal X-ray/computed tomography scan, or it could be an intraoperative finding. The gold standard treatment is represented by laparoscopic cholecystectomy. The pregnancy with its related cholestatic phenotype could facilitate the LBS manifestation. An endocrinological screening should be performed to rule out a concomitant calcium metabolism disorder. Conclusion Knowledge of this rare condition could help general surgeons handle it properly.

show abstract

Section: Discussionmentioning

confidence: 99%

Post-pregnancy recurrent biliary colic with intraoperative diagnosis of limy bile syndrome

Migliore

Giraudo

Gianotti

et al. 2021

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…The presence of limy bile within the intrahepatic biliary tree is extremely rare. It can be attributed to a reflux from the GB or an intrahepatic formation 10…”

Section: Discussionmentioning

confidence: 99%

“…Although ultrasonography is the initial modality of choice for evaluating patients with biliary disease, it is less specific in these circumstances 8. Unenhanced CT scan to localise limy bile within the biliary tree have been used 10. It is considered a helpful tool to exclude other calcifying GB pathologies including porcelain GB 4.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of limy bile syndrome presenting with obstructive jaundice

AlMuhsin¹,

Al-Taweel

Abouleid

2019

BMJ Case Rep

View full text Add to dashboard Cite

Limy bile syndrome is a rare entity in which there is an excessive precipitation of calcium salts, mainly calcium carbonate in the gallbladder (GB) and to a rare extent in the common bile duct (CBD), making it radiopaque in plain radiographs. Laparoscopic cholecystectomy is safe and effective in patients with limy bile confined to the GB. However, for patients with an extension to the CBD, bile duct exploration with a T-tube placement, endoscopic naso-billiary drainage or endoscopic sphincterotomy (EST) may be warranted. We report a case of limy bile syndrome associated with obstructive jaundice in a young female patient. She was managed successfully with EST followed by laparoscopic cholecystectomy.

show abstract

Limy Bile Syndrome Complicated with Primary Hyperparathyroidism

Koca

Barut

2015

Case Reports in Surgery

View full text Add to dashboard Cite

Limy bile is a relatively rare condition, in which a radiopaque material is visible in the gallbladder on plain radiography or computerized tomography. Cases of complicated hyperparathyroidism are extremely rare. We report a patient with right upper quadrant and epigastric pain and extremity weakness in whom abdominal tomography showed limy bile in the gallbladder and laboratory values showed high levels of serum calcium and parathormone.

show abstract

Unenhanced Computed Tomography to Identify Intrahepatic and Extrahepatic Limy Bile

Cited by 3 publications

References 4 publications

Post-pregnancy recurrent biliary colic with intraoperative diagnosis of limy bile syndrome

Post-pregnancy recurrent biliary colic with intraoperative diagnosis of limy bile syndrome

Endoscopic management of limy bile syndrome presenting with obstructive jaundice

Limy Bile Syndrome Complicated with Primary Hyperparathyroidism

Contact Info

Product

Resources

About