Limy Bile Syndrome Complicated with Primary Hyperparathyroidism

Yuji TAKATORI; Kazuhiko YAMAUCHI; Yuji NEGORO; Kenichi NORO; Akio YOSHIDA; Wakako Nanamiya; Mamoru Tamai; Takashi Kobayashi; Yukio Yamane; Shintaro AKAMOTO; Norikazu SUZAKI; Akinori SASAKI

doi:10.2169/internalmedicine.42.44

Yuji TAKATORI, Kazuhiko YAMAUCHI, Yuji NEGORO, Kenichi NORO, Akio YOSHIDA, Wakako Nanamiya, Mamoru Tamai, Takashi Kobayashi, Yukio Yamane, Shintaro AKAMOTO, Norikazu SUZAKI, Akinori SASAKI

Author information

Yuji TAKATORI
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Kazuhiko YAMAUCHI
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Yuji NEGORO
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Kenichi NORO
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Akio YOSHIDA
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Wakako Nanamiya
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Mamoru Tamai
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Takashi Kobayashi
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Yukio Yamane
The. First Department of Internal Medicine, Sekizenkai Juzen General Hospital
Shintaro AKAMOTO
The Department of Surgery, Sekizenkai Juzen General Hospital
Norikazu SUZAKI
The Department of Surgery, Sekizenkai Juzen General Hospital
Akinori SASAKI
The Department of Surgery, Sekizenkai Juzen General Hospital

Keywords: limy bile syndrome, hyperparathyroidism, hypercalcemia, obstructive jaundice

JOURNAL FREE ACCESS

2003 Volume 42 Issue 1 Pages 44-47

DOI https://doi.org/10.2169/internalmedicine.42.44

Details

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 commonbile duct, and laboratory values showed a high serum calcium level and highly sensitive PTH (HS-PTH) level.
(Internal Medicine 42: 44-47, 2003)

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