Abstract
A 54-year-old woman visited a nearby hospital upon becoming aware of pain in the upper abdomen and after passing yellow urine. Because liver dysfunction was noted, she was referred to our hospital for exploration and treatment. Based on imaging tests, she was diagnosed as having obstructive jaundice due to limy bile which flowed into the common bile duct. Following endoscopic sphincterotomy (EST), calcifications of the gallbladder and the common bile duct disappeared, and the jaundice improved. Subsequently, the patient was followed in the clinic. Ten months after EST, calcifications relapsed in the gallbladder, and hence laparoscopic cholecystectomy was performed. A calculus analysis of cream-colored paste substances observed inside the gallbladder disclosed that 98% or more of these were calcium carbonate. This case is considered valuable, because we could observe the relapsing limy bile within the gallbladder with time after calcifications in the gallbladder and the common bile duct had once disappeared following EST.
