scholarly journals Post Cholecystectomy Syndrome in a Patient due to Multiple Biliary Pathologies.

2013 ◽  
Vol 11 (1) ◽  
pp. 52-54
Author(s):  
Bikash Bikram Thapa ◽  
Kunda Bikram Shah ◽  
Sushil Bahadur Rawal ◽  
Srijan Malla

Postcholecystectomy syndrome is the recurrence of symptoms after cholecystectomy. Postcholecystectomy syndrome due to a combination of cystic duct stump calculus and choledochal cyst with recurrent choledocholithiasis is a rare presentation. This is a case report of a patient who had developed recurrent common bile duct calculi despite endoscopic removal and eventully managed with Rou-en-Y Hepati cojejunostomy for having choledochal cyst 39 years postcholecstectomy. Medical Journal of Shree Birendra Hospital; Jan-June 2012/vol.11/Issue1/52-54 DOI: http://dx.doi.org/10.3126/mjsbh.v11i1.7792

2021 ◽  
Vol 14 (10) ◽  
pp. e244393
Author(s):  
G Revathi ◽  
Brijesh Kumar Singh ◽  
Yashwant Singh Rathore ◽  
Sunil Chumber

A young adult male presented with biliary colic and intermittent jaundice for 1 year. Abdomen findings were unremarkable. Routine investigations revealed a raised total bilirubin. On abdominal ultrasonography, common bile duct (CBD) dilatation with multiple stones was noted. On further imaging with magnetic resonance cholangiopancreatography, type I choledochal cyst (CDC) was suspected. A laparoscopic approach was planned. Intraoperatively, dilatation of cystic duct was noted which constitute type VI CDC. Partial malrotation of the gut and accessory right hepatic artery were also noted as incidental finding. Laparoscopic cholecystectomy with CBD exploration and removal of stones, biliary stent placement, cystic duct cyst excision and primary repair of CBD was done. Postoperatively, the patient improved symptomatically with a fall in bilirubin to normal range. We are describing the laparoscopic management of a rare case of type IV CDC which was diagnosed intraoperatively.


2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Dario Pariani ◽  
Giorgio Zetti ◽  
Ferdinando Cortese

Nowadays endoscopic treatment of common bile duct stones is considered the treatment of choice for all common bile duct stones. Although this procedure is related to a good success rate, in rare cases serious complications can happen, especially if you use a Dormia basket. Here we describe the clinical case of a patient affected by hepatolithiasis, cholelithiasis, and common bile duct lithiasis with entrapment of a Dormia basket in the cystic duct. It was necessary to perform a surgical choledochotomy to deal with this rare complication.


2021 ◽  
Vol 8 ◽  
Author(s):  
Jiankang Zhang ◽  
Zeming Hu ◽  
Xuan Lin ◽  
Dongliang Zhang ◽  
Hao Wang ◽  
...  

A 33-year-old female with a mild elevation of liver transaminase was sent to the general surgery department for medical services due to upper-right abdominal pain for 2 weeks. A liquid dark area ~4 × 3 × 3 cm in size in the theoretical location of the pancreatic segment of the common bile duct was detected by abdominal CT with no enhancement of the cystic wall found in the enhanced CT scan. The patient was then diagnosed with a choledochal cyst based on the results of the radiological images preoperatively. During the operation, the isolated cystic dilatation was found in the middle part of the cystic duct, and its caudal portion was found behind the head of the pancreas and converged into the common bile duct at an acute angle and low insertion. According to the intraoperative evaluation, the female was then diagnosed with a cystic duct cyst (CDC). The surgery was converted to a laparotomy for the unclear structure and the possibility of anatomic variation of the bile duct. The caudal portion of the cystic duct was found communicated with the common bile duct with a narrow base, and the extrahepatic bile duct was not cystic. The CDC was removed in the surgery. One week later, the patient was discharged from the hospital for the disappearance of abdominal pain and normal liver transaminase and did not report any discomfort in the 1-month-long follow-up. The lessons drawn from this case were as follows: (1) the distinction between the relatively frequent choledochal cyst and the isolated CDC should always be taken in mind; (2) a surgical strategy should be given priority for an intraoperatively confirmed CDC; (3) a common bile duct exploration is recommended for patients with choledocholithiasis or jaundice.


Suizo ◽  
2017 ◽  
Vol 32 (2) ◽  
pp. 162-167
Author(s):  
Takeshi OTSUKA ◽  
Ryuichi YAMAMOTO ◽  
Katsuma MIYAHO ◽  
Kentaro SUDA ◽  
Tetsuro FUJITA ◽  
...  

2015 ◽  
Vol 19 (1) ◽  
pp. 71-72 ◽  
Author(s):  
Rohit Bhoil ◽  
Shikha Sood ◽  
R. G. Sood ◽  
Gazal Singla ◽  
Shivani Bakshi

BMJ ◽  
1975 ◽  
Vol 4 (5995) ◽  
pp. 504-504 ◽  
Author(s):  
C E Newman ◽  
J D Hamer

2016 ◽  
Vol 02 (01) ◽  
pp. 049-052
Author(s):  
Abhishek Mane ◽  
Ashish Verma ◽  
Amrita Kar ◽  
Ritu Ojha ◽  
Ram Shukla ◽  
...  

AbstractRhabdomyosarcoma (RMS) is the most common tumor of biliary tree in childhood. Biliary tree is an uncommon site for RMS to occur, accounting for about 1% of all pediatric RMS. A preoperative diagnosis is not difficult with background knowledge of its imaging features. The diagnosis of this malignancy is especially important as it many times mimics a more common and benign condition of choledochal cyst. The key to diagnosis is to distinguish solid component of the tumor from organized sludge seen in choledochal cyst. Imaging plays a vital role for preoperative staging as well.


2016 ◽  
Vol 07 (02) ◽  
pp. 065-067 ◽  
Author(s):  
Yogesh Harwani ◽  
Mahesh Goenka ◽  
Vijay Rai ◽  
Usha Goenka

AbstractCystic duct remnant calculus (CDRC) is an important cause of postcholecystectomy syndrome.[1] Open assess cholecystectomy or laparoscopic cholecystectomy of the remnant duct is effective and considered to be preferred treatment. We report a case of 65-year-old female patient, a poor surgical candidate with CDRC who presented to us with biliary pain and obstructive jaundice secondary to common bile duct (CBD) stones, in whom CDRC was extracted during CBD clearance by endoscopic retrograde cholangiopancreatography.


Author(s):  
Masahiro Iseki ◽  
Masamichi Mizuma ◽  
Yasutaka Aoki ◽  
Shuichi Aoki ◽  
Tatsuo Hata ◽  
...  

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