EURORAD ESR

Case 14905

Post cholecystectomy syndrome - an appraisal

Author(s)
Sivakami Pradheepkumar MD, DNB;RD

Dwan Health Complex, Salalah, Oman
 
Patient
female, 39 year(s)
 
 
  • Figure 1
    Abdominal sonography

    Transverse US image showing a clear cystic lesion in gall bladder bed.

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 2
    Abdominal sonography

    Transverse US image of dilated CBD.

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 3
    Abdominal sonography

    Transverse US image of liver showing mild central IHBRD and periporatal cuffing.

     
    Area of Interest: Liver; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 4
    Abdominal sonography

    US image of distal CBD showing an echogenic filling defect with no distal shadowing.

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 5
    CT scan Abdomen

    CECT abdomen, axial section, portal venous phase showing mild IHBR dilatation.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 6
    CT Abdomen

    CECT abdomen, axial section, portal venous phase at the level of porta showing dilated CHD (white arrow) and dilated cystic duct remnant (yellow arrow) postero-lateral to CHD.

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 7
    CT Abdomen

    CECT abdomen, axial section, portal venous phase at the level of pancreas showing dilated CHD (white arrow) and dilated cystic duct remnant (yellow arrow) postero-medial to it.

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 8
    CT Abdomen

    CECT abdomen, coronal section portal venous phase at the level of porta showing dilated CHD (white arrow) and dilated cystic duct remnant (yellow arrow) lateral to CHD.

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 9
    CT Abdomen

    CECT abdomen, coronal section portal venous phase showing dilated CHD and CBD.

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 10
    MRCP

    MRI T2 WI, coronal plane showing dilated CHD (white arrow), CBD with a small calculus in lumen (yellow arrow). Normally tapering end of CBD and normal ampulla (red arrow) is also seen.

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
  • Figure 11
    MRCP

    MRCP, coronal image showing dilated CHD (white arrow) , dilated & long cystic duct remnant with low insertion in to CHD (yellow arrow) and dilated CBD with a small calculus (red arrow).

     
    Area of Interest: Biliary Tract / Gallbladder; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Dilatation;
     
     
Transverse US image showing a clear cystic lesion in gall bladder bed.
 
Transverse US image of dilated CBD.
 
Transverse US image of liver showing mild central IHBRD and periporatal cuffing.
 
US image of distal CBD showing an echogenic filling defect with no distal shadowing.
 
CECT abdomen, axial section, portal venous phase showing mild IHBR dilatation.
 
CECT abdomen, axial section, portal venous phase at the level of porta showing dilated CHD (white arrow) and dilated cystic duct remnant (yellow arrow) postero-lateral to CHD.
 
CECT abdomen, axial section, portal venous phase at the level of pancreas showing dilated CHD (white arrow) and dilated cystic duct remnant (yellow arrow) postero-medial to it.
 
CECT abdomen, coronal section portal venous phase at the level of porta showing dilated CHD (white arrow) and dilated cystic duct remnant (yellow arrow) lateral to CHD.
 
CECT abdomen, coronal section portal venous phase showing dilated CHD and CBD.
 
MRI T2 WI, coronal plane showing dilated CHD (white arrow), CBD with a small calculus in lumen (yellow arrow). Normally tapering end of CBD and normal ampulla (red arrow) is also seen.
 
MRCP, coronal image showing dilated CHD (white arrow) , dilated & long cystic duct remnant with low insertion in to CHD (yellow arrow) and dilated CBD with a small calculus (red arrow).
 
 
 
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