Coupris L, Varlet F, Duverne C, Laumonier F, Alliot G M
Chir Pediatr. 1985;26(2):81-7.
The "limy bile" is uncommon in adults and very exceptional in childhood. The authors report a new case of a 7 years old girl. The review of the literature since Churchman's description (1911) allowed to collect eleven other cases of children, less than fifteen old. The usual sexual distribution in biliary diseases with female predominance is not true for them: eight boys for four girls. The youngest was three years and six months old. All but one have presented mainly right upper abdominal pain and vomiting. The diagnosis was made by an abdominal plain film showing a spontaneous visualization of the gallbladder which contained a material made of carbonate of calcium. One was an operative detection. All presented a stone of neck of gallbladder or cystic duct. The origin of "limy bile" is unknown. Nine children have been operated (cholecystectomy) with good result. Spontaneous disappearance of "limy bile" was noted in three cases. It was marked by acute abdominal pain, inconstant jaundice or pancreatic reaction. No surgical care was brought with nor further problems or recurrence.
“石灰样胆汁”在成人中并不常见，在儿童中极为罕见。作者报告了一例7岁女孩的新病例。自Churchman于1911年描述该病以来，回顾文献发现了另外11例15岁以下儿童的病例。在以女性为主的胆道疾病中常见的性别分布情况在他们身上并不适用：男孩8例，女孩4例。最小的患儿为3岁6个月。除1例之外，所有患儿主要表现为右上腹疼痛和呕吐。诊断通过腹部平片做出，显示胆囊自发显影，其中含有由碳酸钙构成的物质。1例为手术探查发现。所有患儿均有胆囊颈部或胆囊管结石。“石灰样胆汁”的病因不明。9例患儿接受了手术（胆囊切除术），效果良好。3例患儿的“石灰样胆汁”出现自发消失。其表现为急性腹痛、间歇性黄疸或胰腺反应。未进行手术治疗，也未出现进一步问题或复发情况。
