Lithiase et dilatation du canal cystique résiduel : une forme étonnante de syndrome post-cholécystectomie
(2015) Louvain médical — Vol. 134, n° 10, p. 564-570 (2015)
Files
2015_Moulart_LM_13410_564-570.pdf
Restricted Access - Adobe PDF
- 375.35 KB
Details
- Authors
- Abstract
- (en) [Lithiasis and cystic duct remnant dilatation: a surprising case of postcholecystectomy syndrome] Based on a peculiar clinical situation, this paper was aimed at exploring the postcholecystectomy syndrome (PCS). What are its main causes? Which diagnostic procedures are currently recommended in the scientific literature? Which therapeutic tools are available? We describe the case of a 62-year-old man, who was hospitalized for right hypochondrial pain 12 years after cholecystectomy. Imaging examination revealed a so-called neo-gallbladder, and surgical treatment was proposed to the patient. A cystic duct remnant, observed after cholecystectomy, has been defined by most authors as a residual duct >1cm in length. When the PCS is accounted for by this cystic duct stump, it is generally referred to as cystic duct remnant syndrome. This scenario may possibly account for up to 16% of all PCSs. The presence of stones in the cystic duct stump, along with inflammation of this cystic duct remnant, are recognized causes of PCS. Abdominal ultrasonography and/or CT scan usually provide first diagnostic indications, while endoscopy is considered as first-line treatment
- Affiliations
Citations
Moulart, A., Borgniet, O., Nguyên Ung, P., & Damoiseaux, P. (2015). Lithiase et dilatation du canal cystique résiduel : une forme étonnante de syndrome post-cholécystectomie. Louvain médical, 134(10), 564-570. https://hdl.handle.net/2078.5/184182 (Original work published 2015)