A CASE OF REMNANT CYSTIC DUCT STONES EXCRETED DURING ENDOSCOPIC RETROGRADE CHOLANGIOGRAPHY

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  • DATE Hiromi
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • MURAKAMI Masahiko
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • GOTO Satoru
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • MOTEGI Kentaro
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • YAMASHITA Takeshi
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • KOIZUMI Tomotake
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • FUJIMORI Akira
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • WATANABE Makoto
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • OTSUKA Koji
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • AOKI Takeshi
    Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
  • YAMASAKI Kimiyasu
    Department of Surgery, Yamanashi Red Cross Hospital
  • TAJIMA Yusuke
    Department of Surgery, Kanto Rosai Hospital

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Other Title
  • ERC中に排石を認めた遺残胆嚢管結石の1例
  • 症例報告 ERC中に排石を認めた遺残胆嚢管結石の1例
  • ショウレイ ホウコク ERC チュウ ニ ハイセキ オ ミトメタ イザンタンノウカン ケッセキ ノ 1レイ

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Abstract

A 58-year-old man underwent laparoscopic cholecystectomy for cholelithiasis in June 2012. No problems occurred after surgery and the patient was discharged. In June 2014, the patient began experiencing pain in the upper abdomen, for which he consulted our department. A blood test revealed an elevated inflammatory reaction and jaundice. Abdominal contrast computed tomography showed cystic duct remnants and stones. The patient was diagnosed with cystic duct remnant syndrome caused by remnant cystic duct stones. Because the patient was anticipated to have a high degree of adhesion in the peritoneal cavity due to a previous surgery, endoscopic lithotripsy was performed. The patient’s condition was good after excretion of the stones and he has been progressing well without relapse of symptoms since his discharge from hospital. Cystic duct remnant syndrome is a relatively rare disease in which it is nonetheless feasible to provide minimally invasive treatment by endoscopy. We hereby report this case together with a discussion of the literature.

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