Post-cholecystectomy Syndrome and its Management

Hajrah Hilal Ahmed, Ayesha Siddiqui, Kanwal Irshad, Muhammad Jamaluddin

  • Hajrah Hilal Ahmed Department of General Surgery Surgical Unit II, Abbasi Shaheed Hospital, Karachi


Post-cholecystectomy syndrome (PCS) presents with a wide range of symptoms in patients, mostly women, after surgery with an occurrence of 5 - 63% depending on the years of data collection. We present here a case series with four cases where the symptoms began as early as one year and as late as 9 years following cholecystectomy. The general principle of treatment followed for each case included initial hematological investigations, ultrasonography, Magnetic Resonance Cholangio-pancreatography (MRCP) and Endoscopic Retrograde Cholangio-pancreatography (ERCP) and open cholecystectomy depending on the findings.

Key words 

Post-cholecystectomy Syndrome, Cystic duct stump, Gallbladder Remnant, Completion cholecystectomy.