PDF(Pubmed)
Abstract：
Limy bile syndrome (LBS) is a condition in which the biliary tract is filled with radiodense calcium carbonate rich sludge. This rare condition can complicate the management of commonly encountered biliary conditions such as choledocholithiasis. We present a case of a male in his fifties who presented to hospital with a 12-day history of abdominal pain, nausea and jaundice. Imaging and laboratory findings demonstrated a dependent radio-dense substance within the biliary system as well as an obstructing calculus at the duodenal ampulla. Management with endoscopic retrograde cholangiopancreatography alone was insufficient and further surgical management was required. With no clear published guidelines on LBS and associated cholelithiasis, management is variable. We present this case as an addition to the literature on the management of choledocholithiasis complicated by LBS.
摘要：
Limy胆汁综合征（LBS）是胆道充满富含放射性碳酸钙的污泥的病症。这种罕见的情况会使胆总管结石等常见胆道疾病的治疗复杂化。我们介绍了一例五十多岁的男性，他有12天的腹痛史，恶心和黄疸。影像学和实验室检查结果表明，胆道系统内有依赖性放射性致密物质，十二指肠壶腹结石阻塞。仅使用内镜逆行胰胆管造影术的管理不足，需要进一步的手术管理。没有明确公布的关于LBS和相关胆石症的指南，管理是可变的。我们将此病例作为对LBS并发胆总管结石治疗文献的补充。
