Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jun;80(3):284-287.
doi: 10.1007/s12262-018-1724-5. Epub 2018 Jan 27.

Surgical Management of Cystic Duct Stump Stone or Gall Bladder Remnant Stone

Abhimanyu Kar  1 , Sumit Gulati  1 , Sudheer Mohammed  1 , Mithun Valiya Valappil  1 , Bhaviya Bhargavan Sarala  2 , Supriyo Ghatak  1 , Avik Bhattacharyya  3
Affiliations

Surgical Management of Cystic Duct Stump Stone or Gall Bladder Remnant Stone

Abhimanyu Kar et al. Indian J Surg. 2018 Jun.

Abstract

Retained calculi in the cystic duct or gall bladder remnant can present as a post-cholecystectomy problem. Increased suspicion is necessary to diagnose this condition in a symptomatic post-cholecystectomy patient. Ultrasonography usually detects this condition, but magnetic resonance cholangiopancreatography is the test of choice for diagnosis as well as for surgical planning. Laparoscopic re-excision of the stump in most cases is feasible and safe. It is increasingly becoming the treatment of choice.

Keywords: ERCP—endoscopic retrograde cholangiopancreatography; LC—laparoscopic cholecystectomy; MRCP—magnetic resonance cholangiopancreatography; USG—ultrasonography.

PubMed Disclaimer

Conflict of interest statement

Compliance with Ethical StandardsThe authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
MRCP image of post-cholecystectomy gall bladder remnant
Fig. 2
Fig. 2
Specimen of gall bladder remnant with calculi, post-laparoscopic completion cholecystectomy
See this image and copyright information in PMC

References

    1. Lum YW, House MG. Hayanga AJ, et al. Postcholecystectomy syndrome in the laparoscopic era. J Laparoendosc Adv Surg Tech A. 2006;16(5):482–485. doi: 10.1089/lap.2006.16.482. - DOI - PubMed
    1. Walsh RM, Chung RS, Grundfest-Broniatowski S. Incomplete excision of the gallbladder during laparoscopic cholecystectomy. Surg Endosc. 1995;9(1):67–70. doi: 10.1007/BF00187890. - DOI - PubMed
    1. Shaw C, O’Hanlon DM, Fenlon HM, et al. Cystic duct remnant and the ‘post cholecystectomy syndrome’. Hepato-Gastroenterology. 2004;51(55):36–38. - PubMed
    1. Rozsos I, Magyarodi Z, Orban P. Cystic duct syndrome and minimally invasive surgery. Orv Hetil. 1997;138:2397–2401. - PubMed
    1. Florcken H. Gallenblasenregeneration mit steinrecidiv nachcholecystectomie. Deutsch Z Chir. 1912;113(5–6):604–605. doi: 10.1007/BF02800896. - DOI

LinkOut - more resources