Limy Bile Syndrome Complicated with Primary Hyperparathyroidism

Limy bile is a rare condition characterized by excessive precipitation of calcium carbonate in the gallbladder. Cases of complicated hyperparathyroidism are extremely rare. There is only one reported case, where serum and urine calcium levels were high. On the other hand, the presence of limy bile in the common bile duct is also very rare, and has been reported in only 20 cases. We report a patient with obstructive jaundice in whom the initial abdominal radiography showed limy bile in the gallbladder and commonbile duct, and laboratory values showed a high serum calcium level and highly sensitive PTH (HS-PTH) level.(Internal Medicine 42: 44-47, 2003)