Mergener K, Clavien P A, Branch M S, Baillie J
Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
Am J Gastroenterol. 1999 Jan;94(1):229-31. doi: 10.1111/j.1572-0241.1999.00803.x.
We describe the unusual case of a patient who developed recurrent right upper quadrant pain 25 yr after cholecystectomy. A cystic lesion containing a calculus was identified on transabdominal ultrasound, initially suggesting the possibility of gallbladder duplication. Endoscopic retrograde cholangiography identified this lesion as a massively dilated cystic duct stump. Surgical resection led to complete resolution of symptoms. Recurrent cholelithiasis involving the cystic duct stump may lead to massive dilatation, and must be considered in the differential diagnosis of postcholecystectomy syndrome.
我们描述了一例不寻常的病例，该患者在胆囊切除术后25年出现右上腹复发性疼痛。经腹部超声检查发现一个含有结石的囊性病变，最初提示存在胆囊重复畸形的可能性。内镜逆行胆管造影显示该病变为一个极度扩张的胆囊管残端。手术切除后症状完全缓解。涉及胆囊管残端的复发性胆石症可能导致其极度扩张，在胆囊切除术后综合征的鉴别诊断中必须考虑到这一点。
