Limy bile syndrome complicated with primary hyperparathyroid
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Limy bile (LB) is a rare disorder in which the gallbladder and rarely the common bile duct are filled with a paste-like radiopaque material. Volkmann first described the presence of white, calcareous substance in the gallbladder in 1911.Knutsson introduced the term “limy bile” or “milky bile” for this clinical entity.The etiology of LB is unclear, although it may be a long-term complication of total parenteral nutrition. In rare cases of hereditary spherocytosis, primary biliary cirrhosis, or primary hyperparathyroidism, lesions occur simultaneously outside the bile ducts.We report a patient with right upper quadrant epigastric pain and extremity weakness in whom abdominal tomography showed limy bile in the gallbladder and laboratory values showed high levels of serum calcium and parathormone...

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