Presentation
Cholecystectomy three weeks ago. Now referred with abdominal pain and jaundice.
Patient Data
Age: 50 years
Gender: Male
From the case:
Gallstone pancreatitis post cholecystectomy
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Three low signal void stones at distal CBD are associated with upstream dilatation of extrahepatic and intrahepatic biliary ducts ( choledocholithiasis ).
High T2 signals due to edema with infiltration of the peri pancreatic fat planes as well as peri-splenic, peri hepatic and both para renal spaces due to pancreatitis.
The gallbladder is not seen.
Case Discussion
Findings are compatible with gall stone pancreatitis post-cholecystectomy because of unexpected retained or residual gall stones in the common bile duct in our patient after cholecystectomy three weeks ago.
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