Successful treatment of limy bile syndrome extending to the common bile duct by laparoscopic cholecystectomy and common bile duct exploration: A case report and literature review

详细信息    查看全文

• 作者：Yuka Masuda ; Yoshiaki Mizuguchi ; Tomohiro Kanda ; Hiroyasu Furuki ; Yasuhiro Mamada ; Nobuhiko Taniai ; Yoshiharu Nakamura ; Masato Yoshioka ; Akira Matsushita ; Yoichi Kawano ; Tetsuya Shimizu and Eiji Uchida
• 刊名：Asian Journal of Endoscopic Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：10
• 期：1
• 页码：59-62
• 全文大小：273K
• ISSN：1758-5910

文摘

Limy bile syndrome extending to the common bile duct (CBD) is a rare condition that lacks a standardized treatment. Laparoscopic cholecystectomy with laparoscopic choledocholithotomy by CBD exploration is preferred because it preserves the function of the sphincter of the Vater's papilla and allows treatment of both lesions. A 37-year-old man who was receiving entecavir for chronic hepatitis B developed right upper quadrant pain. Abdominal ultrasonography revealed a calcified shadow in the gallbladder and CBD. Abdominal imaging revealed a liquid-like material identified by a calcified shadow in two phases separated by a fluid-fluid level. Abdominal and 3-D drip infusion cholangiography CT showed stones in the gallbladder and CBD with limy bile. The patient underwent laparoscopic cholecystectomy and choledocholithotomy. Intraoperatively, white–yellow-colored bile and stones were drained from the CBD. A C-tube was placed. Postoperatively, remnant stones and radiopaque materials were absent. The stones comprised of >95% calcium carbonate.