Postcholecystectomy syndrome in the laparoscopic era

Ying Wei Lum, Michael G. House, Awori J. Hayanga, Michael Schweitzer

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

sWe describe the management of a cystic duct remnant calculus in a 45-year-old male patient who had undergone a laparoscopic cholecystectomy and re-presented with abdominal pain and jaundice. Magnetic resonance cholangiopancreatograpay was utilized to confirm the diagnosis of an impacted calculus within the remnant cystic duct along with several small retained common bile duct stones. Four sequential endoscopic procedures successfully removed all retained common bile duct calculi to alleviate the biliary obstruction; however, we were unable to treat the cystic duct remnant calculus endoscopically. The patient finally underwent successful laparoscopic excision of a 2.5-cm cystic duct remnant containing its impacted calculus. It remains unclear if cystic duct remnant calculi may become more prevalent as a cause of postcholecystectomy syndrome in future due to the large numbers of laparoscopic cholecystectomies performed in the past 2 decades.

Original languageEnglish (US)
Pages (from-to)482-485
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume16
Issue number5
DOIs
StatePublished - Oct 1 2006
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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