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Case report


Cystic Duct Remnant Syndrome

Eranga PereraShweta BhattVikram S. Dogra
Department of Radiology, National Hospital of Sri Lanka, Colombo 10, Sri LankaDepartment of Imaging Sciences, University of Rochester School of Medicine, Rochester-14642, NY, USA
Date of Submission: 13-Sep-2010, Date of Acceptance: 30-Sep-2010, Date of Web Publication: 01-Jan-2011.
Corresponding Author:
Corresponding Author

Eranga Perera

E-mail: wp_eranga@yahoo.co.uk

Corresponding Author:
Corresponding Author

Eranga Perera

E-mail: wp_eranga@yahoo.co.uk

DOI: 10.4103/2156-7514.73500 Facebook Twitter Google Linkedin

ABSTRACT


Post-cholecystectomy syndrome (PCS) is a common manifestation in patients with cholecystectomy. The patients exhibit a heterogeneous group of symptoms, such as upper abdominal pain, vomiting, gastrointestinal disorders, jaundice, and dyspepsia. Choledocholithiasis, biliary dyskinesia, and dilation of cystic duct remnants are common causes of these symptoms. The symptoms can recur after a symptom-free period following cholecystectomy or they can persist after surgery. Ultrasonography, computed tomography (CT), and magnetic resonance imaging scan, which are noninvasive methods of imaging, have a high sensitivity in detecting the causes of PCS. We report a case of an 84-year-old lady who came to the Ultrasound Department with recurrent episodes of abdominal pain following cholecystectomy. The grayscale sonography showed a dilated cystic structure, which was confirmed as the duct remnant in follow-up contrast-enhanced CT.
Keywords: Biliary dyskinesia, choledocholithiasis, cystic duct remnant, postcholecystectomy syndrome

Cited in 10 Documents

  1. Julia Whitby, Andrew Thomson and Sivakumar Gananadha Mucocele of the gall bladder stump: a cause of post-cholecystectomy syndrome ANZ Journal of Surgery 86(9) 2016 725. Doi: 10.1111/ans.12745
  2. Arthur Zimmermann Tumors and Tumor-Like Lesions of the Hepatobiliary Tract (Chapter 146) 2017 2609. Doi: 10.1007/978-3-319-26956-6_146
  3. Jesús Márquez Rojas, José Antonio Medina Ortiz, Yvana Anavy Martínez Mateo, M.J. Matito Díaz and Martina Arribas Jurado Cystic Duct Remnant Syndrome: Myth or Reality? Cirugía Española (English Edition) 92(7) 2014 496. Doi: 10.1016/j.cireng.2013.04.009
  4. Arthur Zimmermann Tumors and Tumor-Like Lesions of the Hepatobiliary Tract (Chapter 146-1) 2016 1. Doi: 10.1007/978-3-319-26587-2_146-1
  5. Priyank S Chatra Cystic duct remnant: a rare cause for post-cholecystectomy syndrome BJR|case reports 4(1) 2018 20170043. Doi: 10.1259/bjrcr.20170043
  6. A. Kouloura, G. Sgourakis, S. Lanitis, Gionous Sourtse, Ch. Karaliotas, A. Pintireki, S. Peristeraki, K. Karkoulias and C. Karaliotas Enriched view of postcholecystectomy syndrome: Nowadays and in former times Hellenic J Surg 87(2) 2015 156. Doi: 10.1007/s13126-015-0201-x
  7. David Ruiz-Clavijo García, Juan Vila Costas, Carlos Prieto Martínez, Inmaculada Elizalde Apesteguía, Antonio Tarifa Castilla, María Mercado Gutiérrez, Marian Casi Villarroya, Jesús María Urman Fernández and Francisco Javier Herrera Cabezón Síndrome del muñón cístico como causa de síndrome poscolecistectomía Gastroenterología y Hepatología 39(10) 2016 722. Doi: 10.1016/j.gastrohep.2016.04.007
  8. Jesús Márquez Rojas, José Antonio Medina Ortiz, Yvana Anavy Martínez Mateo, M. José Matito Díaz and Martina Arribas Jurado Síndrome del muñón cístico: ¿quimera o realidad? Cirugía Española 92(7) 2014 496. Doi: 10.1016/j.ciresp.2013.04.020
  9. Amir Houshang Mohammad Alizadeh Updates in Gallbladder Diseases (Chapter 7) 2017 . Doi: 10.5772/67758
  10. David Ruiz-Clavijo García, Juan Vila Costas, Carlos Prieto Martínez, Inmaculada Elizalde Apesteguía, Antonio Tarifa Castilla, María Mercado Gutiérrez, Marian Casi Villarroya, Jesús María Urman Fernández and Francisco Javier Herrera Cabezón Cystic duct remnant syndrome as a cause of post-cholecystectomy syndrome Gastroenterología y Hepatología (English Edition) 39(10) 2016 722. Doi: 10.1016/j.gastre.2016.11.006

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