title: Gallstone pancreatitis secondary to a pathological cystic duct stump in a setting of chronic pain syndrome: a diagnostic dilemma.
abstract: A 32-year-old woman presented with epigastric pain. She was a patient with chronic pain syndrome and had visited the emergency department several times over the past year. She did not drink alcohol. She had a laparoscopic cholecystectomy for gallstone pancreatitis 4 years ago. Her lipase was 2020 with normal bilirubin. MR cholangiopancreatography revealed a cystic structure resembling a gallbladder in the gallbladder fossa. This was in connection with the biliary system. The structure also contained stones. A review of the histology did confirm the gallbladder had been removed. She proceeded to have a laparoscopic re-cholecystectomy and made an unremarkable recovery.
authors.affiliation: Department of General Surgery and Gynaecology, Hutt Hospital, Lower Hutt, New Zealand.
authors.forename: Jamish
authors.initials: J
authors.lastname: Gandhi
authors.affiliation: Department of General Surgery, Waikato Hospital, Hamilton, New Zealand.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Tan
authors.affiliation: Department of General Surgery, Wellington Hospital, Wellington, New Zealand.
authors.forename: Natasha
authors.initials: N
authors.lastname: Gandhi
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000601:surgery*; D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D059350:Chronic Pain / Q000209:etiology / Q000601:surgery*; D003549:Cystic Duct / Q000473:pathology* / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis* / Q000601:surgery; D016896:Treatment Outcome