Murat UÇAR, Pınar İlhan DEMİR, Fatma UÇAR, Nil TOKGÖZ

Postkolesistektomi sendromunun nadir bir nedeni: Remnant safra kesesinin manyetik rezonans kolanjiopankreatografi bulguları

Kolesistektomi sonrası ameliyat nedeni olan klinik semptomların devam etmesi post-kolesistektomi sendromu olarak tanımlanır. Safra yollarına ait ve safra yolları dışı nedenlere bağlı gelişebilmektedir. Sık nedenleri arasında biliyer darlıklar, unutulan/tekrarlayan biliyer taş, Oddi sfinkteri diskinezisi ya da darlığı bulunmaktadır. Yetersiz kolesistektomi sonrası remnant safra kesesi ve remnant kese içerisinde taş varlığı postkolesistektomi sendromunun nadir etyolojileri arasında yer almaktadır. Biz bu çalışmada iki olguda, manyetik rezonans koledokopankreotografi (MRKP) ile post-kolesistektomi sendromunun nadir bir nedeni olan remnant safra kesesi bulgularını ortaya koymayı amaçladık.

Rare presentation of postcholecystectomy syndrome: Magnetic resonance cholangiopancreatography findings of remnant gallbladder

Post-cholecystectomy syndrome is defined as recurrent or persistent symptoms, consisting of upper abdominal pain or dyspepsia after cholecystectomy. Post-cholecystectomy syndrome occurs due to biliary and non-biliary disorders. Biliary stricture, remnant or recurrent bile calculi, strictures involving the sphincter of Oddi or biliary dyskinesia are common cause of this syndrome. Remnant gallbladder and retained calculi in the remnant gallbladder after incomplete cholecystectomy are rare cause of post-cholecystectomy syndrome. In this study, our purpose was to define findings of remnant gallbladder, which is a rare cause of post-cholecystectomy syndrome with magnetic resonance cholangiopancreatography in two patients.

PDF

___

1. Girometti R, Brondani G, Cereser L, et al. Post-cholecystectomy syndrome: spectrum of biliary findings at magnetic resonance cholangiopancreatography. Br J Radiol 2010;83:351361.
2. Perera E, Bhatt S, Dogra VS. Cystic duct remnant syndrome. J Clin Imaging Sci 2011;1:2.
3. Schofer JM. Biliary causes of postcholecystectomy syndrome. J Emerg Med 2010;39:406410.
4. Ward J, Sheridan MB, Guthrie JA, et al. Bile duct strictures after hepatobiliary surgery: assessment with MR cholangiography. Radiology 2004;231:101108.
5. Tantia O, Jain M, Khanna S, Sen B. Post cholecystectomy syndrome: Role of cystic duct stump and re-intervention by laparoscopic surgery. J Minim Access Surg 2008;4:71.
6. Wani N, Khan N, Shah AI, Khan AQ. Post-cholecystectomy Mirizzis syndrome: magnetic resonance cholangiopancreatography demonstration. Saudi J Gastroenterol 2010;16:295298.