I went into hida scan while in pain. the test seemed to have aggravated my syptoms. the results however were normal. do i need a gall bladder removal?

Depends : It depends on the technique. If the cck was injected over a short period of time, then your pain may be from the injection, not your gallbladder. There is some, but very limited evidence, that pain with a slow injection of cck indicates that a person will improve with cholecystectomy. Most evidence is that pain during a hida scan does not mean you have a sick gallbladder. Talk with your surgeon.

No evidence: A normal hepatobiliary scan with gallbladder visualization almost always excludes a diagnosis of acute cholecystitis. You may have had a study with cck to assess the functional status of your gallbladder (chronic cholecystitis). If cck is rapidly administered it can cause gallbladder neck spasm and pain which is similar to the pain obtained with a fatty meal.

Maybe: The hida scan is not always abnormal with gall bladder disease. The fact that symptoms were mimicked by the test may mean gall bladder is an issue. Sometimes gb ejection fraction can be normal and there is a problem with the biliary duct at its entrance into the duodenum where is a muscle, called sphincter of oddi, sometimes spasm at this area can cause simiilar pain., called dyskinesia.

CCK: Did they do a gallbladder ejection fraction? Cck is often injected to calculate a gallbladder ejection fraction. The cck causes the gallbladder to contract and can cause cramping or similar symptoms that you get when you eat a fatty meal.