Asymptomatic limy bile gallstone in a 6-year-old boy

Abstract

Limy bile gallstone is relatively rare condition in which the gallbladder contains white, calcified, radiopaque stones. This condition is even rarer in pediatric patients. We herein report a case of a 6-year-old male patient with asymptomatic limy bile gallstone who underwent laparoscopic cholecystectomy.A 6-year-old male patient was referred to our department due to gallstone with calcification, which was identified incidentally during medical surveillance for enuresis nocturnal. Ultrasonography revealed a calcified gallstone, whereas magnetic resonance cholangiopancreatography showed a filling defect in the gallbladder, no dilatation, and a filling defect in the common bile duct. Although the patient was asymptomatic, he underwent laparoscopic cholecystectomy. The procedure was performed safely with an uneventful postoperative course. Obstruction of the cystic duct was considered the etiology for the formation of the limy bile gallstone in the present. Given that indications for laparoscopic cholecystectomy among pediatric patients with asymptomatic gallstones remains controversial, physicians should consider conducting laparoscopic cholecystectomy when atypical findings are encountered in pediatric gallstone cases.

Keywords

• Limy bile gallstone
• Laparoscopic cholecystectomy
• Asymptomatic gallstone