Postcholecystectomy syndrome (PCS) describes the presence of symptoms after cholecystectomy. In general, postcholecystectomy syndrome arises from alterations in bile flow due to loss of the reservoir function of the gallbladder. These disorders can be classified as extra biliary and biliary. Extra biliary causes such as peptic ulcer disease, reflux esophagitis, chronic pancreatitis, mesenteric ischemia and irritable bowel syndrome.

Biliary causes include biliary stricture, biliary leakage, retained or recurrent biliary calculi, cystic duct remnant, dyskinesia of sphincter of Oddi and neuroma in the surgical bed.

Case courtesy: Dr.ssa Sara Zanzani

Radiographer: TSRM Fabio Imola