Obstructive jaundice caused by limy bile: a report of three cases

Abstract

Obstructive jaundice caused by limy bile is a rare biliary disease. All three patients presented with epigastric pain, and were diagnosed easily based on abdominal CT findings showing the calcified material with niveau in common bile duct (CBD). Cholangiography revealed both cystic duct and gallbladder were contrasted in all cases. Two of them had a CBD stone. To remove limy bile and stone from the CBD, endoscopic papillary dilatation were performed in two cases and endoscopic sphincterotomy was done in another case. Laparoscopic cholecystectomy was performed after the endoscopic treatment successfully. The histopathological examination of gallbladder demonstrated chronic cholecystitis. Their clinical course have been uneventful. We reported three cases with obstructive jaundice caused by limy bile and reviewed the past reported 37 cases in Japan.