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

Masayuki Nakamura, Yuichiro Hamanaka, Kiichi Honma, Kazuma Yano, Shigefumi Yoshino, Tatsuhito Yamamoto, Masaaki Oka, Eishi Mizuta, Takuo Murakami, Takashi Suzuki

Second Department of Surgery, Yamaguchi University School of Medicine

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.

Key words
limy bile, multiple carcinomas of the gallbladder, latent carcinoma of the gallbladder

Reprint requests
Masayuki Nakamura Second Department of Surgery, Yamaguchi University School of Medicine
1144 Kogushi, Ube-shi, 755 JAPAN

Accepted
June 13, 1990

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