Post Cholecystectomy Syndrome - Imaging findings in Biliary causes
A complex of heterogeneous symptoms ( upper abdominal pain & dyspepsia) which recur or persist after cholecystectomy.
Consists of both biliary and extra biliary disorders
Biliary Manifestations:
Early Onset:
- Incomplete surgery ( retained calculi in cystic duct or CBD)
- Operative complications: bile duct injury / bile leakage
Late onset:
- Inflammatory strictures involving the sphincter of oddi / CBD
- recurrent calculi (cystic duct / CBD / GB remnant)
- Biliary dyskinesia
Imaging of choice: MRCP
Sequences:
1. 2D SLAB MRCP
2. 3D MRCP
3. Optional: High resolution thin T2 W axial images
References:
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