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CASE REPORT
Year : 2015  |  Volume : 18  |  Issue : 1  |  Page : 41-43

Late postcholecystectomy syndrome due to intrahepatic calculi


Department of Radiology, NM Medical, Pune, Maharashtra, India

Correspondence Address:
Chandrashekhar A Sohoni
B-5, Common Wealth Hsg. Soc., Opposite Bund Garden, Pune - 411 001, Maharashtra
India
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DOI: 10.4103/1118-8561.152158

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Biliary and nonbiliary disorders are responsible for postcholecystectomy syndrome (PCS). The most common cause of late PCS of biliopancreatic origin is calculi in the common bile duct or the cystic duct remnant. Intra-hepatic calculi causing PCS is very uncommon. We present a case of late PCS caused by intrahepatic calculi in the left intra-hepatic biliary radicles and left hepatic duct causing obstruction of the left ductal system. Endoscopic retrograde cholangiopancreaticography did not show any stricture in the ductal system. Sphincterotomy followed by stenting of the left hepatic duct was performed to relieve the obstruction.


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