Cystic duct stump stones

Case contributed by Dr Mostafa El-Feky

Presentation

Epigastric pain. History of cholecystectomy

Patient Data

Age: 65 years
Gender: Female
MRI

MRCP

Dilated cystic duct stump, measuring 2 cm in diameter, containing multiple stones (size range is 3~5.5 mm). 

No intrahepatic biliary dilatation observed. Normal course and caliber of the CBD, with no signal defects. The pancreatic duct is not dilated.

Case Discussion

Features are consistent with dilated cystic duct stump containing multiple stones. Cystic duct stump can dilate and contain stones, due to strictures, retained calculi, tumors, and sphincter of Oddi dysfunction. The incidence of postcholecystectomy cystic duct remnant stones is less than 2.5% 1.

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Case information

rID: 79444
Published: 25th Aug 2020
Last edited: 26th Aug 2020
Inclusion in quiz mode: Included
Institution: Dar El Ashaa Center

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