Pain after gallbladder removal? - postcholecystectomy mirrizi syndrome - Case based discussio
Hello and welcome back to our channel, today we'll dive into an interesting and lesser-known topic in the medical field - postcholecystectomy mirrizi syndrome or PCMS.
For those of you who are unaware, PCMS is a rare but potential complication that can occur after the removal of the gallbladder or cholecystectomy. It is characterized by the formation of a stone in the gallbladder remnant or cystic duct remnant, which compresses and obstructs the hepatic duct, leading to biliary obstruction and subsequent cholestasis.
Cholestasis is a condition in which bile flow from the liver to the small intestine is disrupted, resulting in the backup of liver enzymes and pigments into the bloodstream, causing symptoms such as jaundice, itching, and fatigue.
Now, let's explore the underlying causes and risk factors of PCMS. It is seen in patients who have undergone a subtotal cholecystectomy or have a long cystic duct remnant.
The symptoms of PCMS can vary considerably, making it difficult to diagnose solely based on clinical presentations. Some common symptoms include abdominal pain, fever, nausea, and vomiting. Additionally, patients may develop jaundice with elevated liver function tests, which may require further imaging such as MRIs or CT scans for diagnosis.
Overall, the management of PCMS requires a multidisciplinary approach, involving a gastroenterologist, surgeon, and radiologist. In some cases, endoscopic retrograde cholangiopancreatography (ERCP) may be necessary to remove the stone and relieve the obstruction.
In conclusion, postcholecystectomy mirrizi syndrome is a rare but potential complication after the removal of the gallbladder. Although several risk factors and causes have been identified, further studies are necessary to develop more effective prevention and treatment strategies. If you're experiencing any of the symptoms we've mentioned or suspect you might have PCMS, we highly recommend seeking medical attention as soon as possible.
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