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Related Experiment Video

Updated: Sep 22, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Post-cholecystectomy Mirizzi Syndrome.

Amer A Alkhatib1, M Ammar Kalas2, Numan Balci3

  • 1Gastroenterology and Hepatology, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE.

Cureus
|May 25, 2022
PubMed
Summary
This summary is machine-generated.

Post-cholecystectomy Mirizzi syndrome (PCMS) causes pain and jaundice after gallbladder removal. Endoscopic intervention effectively resolves PCMS symptoms, offering a minimally invasive treatment option for affected patients.

Keywords:
advanced gastroenterologyendoscopic retrograde cholangiopancreatography (ercp)hepatobiliary interventionsmirizzi syndromepost-cholecystectomy

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Area of Science:

  • Gastroenterology
  • Medical Imaging
  • Surgical Complications

Background:

  • Post-cholecystectomy Mirizzi syndrome (PCMS) presents with recurrent abdominal pain, jaundice, and fever following gallbladder removal.
  • Accurate diagnosis of PCMS is essential for effective patient management.

Observation:

  • A 61-year-old male experienced recurrent right upper quadrant pain two years post-cholecystectomy.
  • Imaging revealed common hepatic duct obstruction caused by a cystic duct stone, indicative of PCMS.

Findings:

  • Advanced imaging techniques like MRI and CT are vital for diagnosing PCMS.
  • Endoscopic intervention is the current first-line management for PCMS.

Implications:

  • Successful endoscopic management led to complete symptom resolution in this case.
  • This highlights the efficacy of endoscopic procedures in treating post-cholecystectomy complications like PCMS.