A Case of Limy Bile Associated with Multiple Carcinomas of the Gallbladder

• Published in: Nippon Shokaki Geka Gakkai zasshi Vol. 23; no. 11; pp. 2653 - 2657
• Main Authors: Nakamura, Masayuki, Hamanaka, Yuichiro, Honma, Kiichi, Yano, Kazuma, Yoshino, Shigefumi, Yamamoto, Tatsuhito, Oka, Masaaki, Mizuta, Eishi, Murakami, Takuo, Suzuki, Takashi
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Gastroenterological Surgery 1990
• Subjects: latent carcinoma of the gallbladder; limy bile; multiple carcinomas of the gallbladder
• ISSN: 0386-9768; 1348-9372
• DOI: 10.5833/jjgs.23.2653

Limy bile is a relatively rare disease, and only about 350 cases have been reported in Japan. However, limy bile associated with caricnoma of the gallbladder is extremely rare. We observed a case of limy bile associated with multiple carcinomas of the gallbladder. A 61-year-old woman had been diagnosed as having cholecystolithiasis combined with limy bile, for which cholecystectomy was performed. Intraoperative findings revealed a small elevated lesion located in the fundus of the gallbladder, the frozen section of which was diagnosed as adenocarcinoma. Resection of the liver bed with dissection of the regional lymph nodes was also performed. In the permanent sections, another early stage of carcinoma was found in the neck and body of the gallbladder. On the basis of the histopathologic findings, we believe that the operation was curative. She is getting along well without sings of recurrence 20 months after surgery.