Abstract
A 75-year-old male presented with right upper quadrant pain. US demonstrated gallstones in the gallbladder and elective laparoscopic cholecystectomy was performed. It was a difficult procedure and 2 days post-op a MDCT was performed for RUQ pain (Image 1). Bile was aspirated from the perihepatic collection and ERCP and biliary stenting was subsequently performed (Image 2). One year later the patient became jaundiced and an ERCP was performed (Image 3). Two years later the patient re-presented with recurrent fevers and intermittent abdominal pain. MDCT (Images 4 and 5) and MRI were performed (Image 6 T2 axial).
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Further Reading
Pinkas H, Brady PG. (2008) Biliary leaks after laparoscopic cholecystectomy: time to stent or time to drain. Hepatobiliary Pancreat Dis Int 7(6):628-32
Singh AK, Levenson RB, Gervais DA, et al. (2007) Dropped gallstones and surgical clips after cholecystectomy: CT assessment. J Comput Assist Tomogr 31(5):758-62
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Joarder, R., Crundwell, N., Gibson, M. (2011). Case 28. In: Case Studies in Abdominal and Pelvic Imaging. Springer, London. https://doi.org/10.1007/978-0-85729-366-4_28
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DOI: https://doi.org/10.1007/978-0-85729-366-4_28
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