Prominent cystic duct - post cholecystectomy

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominal pain with history of recent cholecystectomy.

Patient Data

Age: 50 years
Gender: Female

Post-operative changes are seen due to cholecystectomy. A 30×16mm cyst like lesion is present at surgical site immediately anterior to junction of cystic duct and external bile duct, possibly containing few stones or some debris.

Prior fracture and post-operative changes are seen at right pelvic bones accompanied by multiple small hyperdense foreign bodies with beam hardening metal artifacts at right pelvis soft tissue structures.

Case Discussion

Features on CT scan are consistent with focal dilatation of the remnant cystic duct. There are also evidence of prior pelvic gunshot injuries.

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