Cystic duct remnant stone removal by endoscopic retrograde cholangiopancreatography

Abstract

Cystic 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.

Key words

Cystic duct - endoscopic retrograde cholangiopancreatography

• References

• 1 Palanivelu C, Rangarajan M, Jategaonkar PA, Madankumar MV, Anand NV. Laparoscopic management of remnant cystic duct calculi: A retrospective study. Ann R Coll Surg Engl 2009;91:25-9.
• 2 Lum YW, House MG, Hayanga AJ, Schweitzer M. Postcholecystectomy syndrome in the laparoscopic era. J Laparoendosc Adv Surg Tech A 2006;16:482-5.
• 3 Chow M, von Waldenfels A, Pace R. An unusual case of a retained stone following laparoscopic cholecystectomy. J Laparoendosc Surg 1993;3:513-8.
• 4 Rozsos I, Magyaródi Z, Orbán P. Cystic duct syndrome and minimally invasive surgery. Orv Hetil 1997;138:2397-401.
• 5 Sitenko VM, Nechai AI, Stukalov VV, Kalashnikov SA. Large stump of the cystic duct. Vestn Khir Im I I Grek 1976;116:56-9.
• 6 Walsh RM, Ponsky JL, Dumot J. Retained gallbladder/cystic duct remnant calculi as a cause of postcholecystectomy pain. Surg Endosc 2002;16:981-4.
• 7 Enns R, Brown JA, Tiwari P, Amar J. Mirizzi’s syndrome after cholecystectomy. Gastrointest Endosc 2001;53:629.
• 8 Bhuiya RM, Nimura Y, Kamiya J, Kondo S, Nagino M, Kanai M, et al. Recurrent carcinoma of cystic duct remnant with subcutaneous implantation in abdominal wall. HBP Surg 1997;4:223-6.