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A 27-year-old member asked:

Before and after my gallbladder removal my bile duct has been dilated even still a year later, this causes a lot of pain, will this go away itself?

5 doctor answers8 doctors weighed in
Dr. Videh Mahajan
Internal Medicine 25 years experience
Pain: You should get it checked out. Sometime there is stone which could be retained in cbd to cause dilation and pain.
Dr. Carlo Contreras
A Verified Doctoranswered
A US doctor answeredLearn more
Depends: Ask your doctor how dilated the bile duct is. After gallbladder removal, it is normal to have a slightly enlarged bile duct. Additionally, as you age, your bile duct usually enlarges a bit, usually about 1 mm per 10 years. If you have stones in your bile duct, you certainly need to have this addressed. Finally, proving that your pain is from the dilated bile duct is quite difficult.
Dr. Nicholas Karyotakis
Gastroenterology 30 years experience
SMA syndrome when the Superior mesenteric artery transverses over the Common bile duct can cause both the dilation and the pain. If your liver enzymes are elevated you may want to discuss with your doctor about getting an ERCP with Endoscopic Ultrasound
Jul 20, 2012
Dr. Cosme Manzarbeitia
General Surgery 39 years experience
Two causes: First a retained stone. Or biliary dyskinesia a condition in which the exit muscle at the tip of the bile duct becomes abnormal and causes obstruction. Both are luckily easily managed with ERCP and stents.
Dr. Mark Hoepfner
General Surgery 39 years experience
Depends: It is normal for a person to get a slightly dilated common bile duct after cholecystectomy surgery. Common bile duct stone would be quite unlikely a year after surgery, but possible. Depends on why you had surgery in the first place (gallstones or for biliary dyskinesia). Chronic pain that does not resolve after gallbladder surgery may need further evaluation with your doctor or gastroenterologist.
Dr. Cosme Manzarbeitia
General Surgery 39 years experience
Maybe it's something: Like biliary dyskinesia, a condition that causes the bile duct to dilate and can cause pain. A GI doctor may evaluate this with am mrcp or ercp.

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Last updated Jul 19, 2016

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