Rahate Nachiket P, Rahate Prashant V
Radiology, Jawaharlal Nehru Medical College, Wardha, IND.
Surgery, Seven Star Hospital, Nagpur, IND.
Cureus. 2022 Jul 30;14(7):e27473. doi: 10.7759/cureus.27473. eCollection 2022 Jul.
Milk of Calcium Bile or Limy Bile Syndrome (LBS) is a sporadic and infrequent complication of cholecystitis in which the gallbladder is filled with radio-opaque, abnormal bile secretion. A 40-year-old female came to a tertiary care hospital with symptoms of recurrent pain upper abdomen for two years. On examination, the patient had mild jaundice and mild tenderness at Murphy's point exacerbated on deep inspiration. Laboratory investigations suggested raised levels of bilirubin and hepatic enzymes. Upper GI endoscopy revealed a normal GI tract. A hepatobiliary iminodiacetic acid-cholecystokinin (HIDA-CCK) scan suggested a gallbladder ejection fraction of 5%. Cholecystectomy was done the next day. Infrared imaging under Indocyanine green (ICG) dye revealed a completely dark gallbladder. The patient was asked to take ursodeoxycholic acid preparation post-operatively for four weeks. This case of LBS was discharged on the third postoperative day. She was asked to regularly follow up with the surgeons. LBS is a rare patho-clinical entity with a need for standardized diagnostic and treatment regimen. Further case reporting and studies are required to understand the disease in more depth.
钙乳胆汁或石灰样胆汁综合征（LBS）是胆囊炎的一种散发性且罕见的并发症，其中胆囊充满不透射线的异常胆汁分泌。一名40岁女性因反复上腹部疼痛两年的症状来到一家三级医院。检查时，患者有轻度黄疸，墨菲氏点有轻度压痛，深吸气时加重。实验室检查提示胆红素和肝酶水平升高。上消化道内镜检查显示胃肠道正常。肝胆亚氨基二乙酸 - 胆囊收缩素（HIDA - CCK）扫描提示胆囊排空分数为5%。第二天进行了胆囊切除术。吲哚菁绿（ICG）染料下的红外成像显示胆囊完全变黑。术后要求患者服用熊去氧胆酸制剂四周。该LBS病例于术后第三天出院。要求她定期到外科医生处随访。LBS是一种罕见的病理临床实体，需要标准化的诊断和治疗方案。需要进一步的病例报告和研究以更深入地了解该疾病。
