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Case Reports
. 2011:1:2.
doi: 10.4103/2156-7514.73500. Epub 2011 Jan 1.

Cystic duct remnant syndrome

Eranga Perera  1 , Shweta Bhatt, Vikram S Dogra
Affiliations
Case Reports

Cystic duct remnant syndrome

Eranga Perera et al. J Clin Imaging Sci. 2011.

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 non-invasive 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 gray-scale 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; post-cholecystectomy syndrome.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Gray scale ultrasound scan and (b) color Doppler image of the gall bladder fossa following cholecystectomy show a cystic structure with a well-defined echogenic wall indicating the presence of the dilated cystic duct remnant (arrow).
Figure 2
Figure 2
Contrast-enhanced computed tomography scan of the abdomen demonstrating the common bile duct (arrow) and the laterally placed dilated cystic duct remnant (arrow head).
Figure 3
Figure 3
Computed tomography scan-reformatted coronal image depicts the dilated cystic duct remnant in the gall bladder fossa (arrow).
Figure 4
Figure 4
Line diagram depicting the triangle of Calot (shaded area). The boundaries are formed medially by the common hepatic duct, laterally by the cystic duct, and superiorly by the inferior margin of the liver.
Figure 5
Figure 5
Two coronal images of a magnetic resonance cholangiopancreatogram study show (a) a gall stone within the dilated distal common bile duct, shown as a smoothly marginated filling defect (arrow) and (b) the dilated proximal common bile duct.
See this image and copyright information in PMC

References

    1. Sherwinter DA, Subramanian SR, Cummings LS, Malit MF, Fink SL, Macura JM, et al. Cholecystectomy, Laparoscopic: emedicine. [Last accessed on 2010 Jul 16]. Available from: http://www.emedicine.medscape.com/article/1582292-overview .
    1. Turner MA, Fulcher AS. The cystic duct normal anatomy and disease processes. Radiographics. 2001;21:3–22. - PubMed
    1. Price EA. The radiology of bile ducts. Br J Radiol. 1959;32:247–54. - PubMed
    1. Beye HL. Conditions necessitating surgery following cholecystectomy surgery. Gynecol Obstet. 1936;62:191–202.
    1. Samuel E. The post-cholecystectomy syndrome. Br J Radiol. 1955;28:482–94. - PubMed

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