A case of limy bile with obstructive jaundice treated by PTCD

• Published in: Tando Vol. 5; no. 2; pp. 163 - 168
• Main Authors: OCHI, Takayoshi, KOBAYASHI, Eiji, INAGAKI, Takanori, SUZUKI, Toshiyuki, YOSHIOKA, Nobuo, OGAWA, Yutaka, SUZUKI, Sadasuke
• Format: Journal Article
• Language: Japanese
• Published: Japan Biliary Association 1991
• Subjects: PTCD; 石灰乳胆汁; 胆汁アルカリ化
• ISSN: 0914-0077; 1883-6879
• DOI: 10.11210/tando1987.5.2_163

A 45-year-old man was admitted to our hospital complaining of epigastric pain and jaundice. Abdominal US and CT, scout film of the abdomen revealed limy bile with obstructive jaundice. Emergency percutaneous transhepatic cholangio-drainage (PTCD) was performed on the next day of admission. Yellow greenish clay-like substance drained throuhg the PTCD tube, which proved calcium carbonte by infrared spectorphotometer. The pH of the bile was 9.6. The cholangiogram revealed normal cystic duct. The limy bile drained through the PTCD tube for some days. Severeal modalities revealed no stones in the biliary system, and the PTCD tube was removed. He had been admitted due to liver dysfunction about 1 year before this admission. The scout film of the abdomen revealed limy bile in the bottom, and small stone in the neck of the gall bladder. We thought the alkalization of the bile and reversible obstruction of the cystic duct played an important role in producing limy bile in our case.