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A 55-year-old female asked:

Ct/mrcp shows inflammation of gallbladder,liver and spleen. sev ruq pain. 18yo. ana positive,igg low, no stones. dr ordered hida scan. ideas?

2 doctor answers3 doctors weighed in
Dr. John Chiu
Allergy and Immunology 57 years experience
See rheumatologist: You appear to have an autoimmune and/or immune deficiency problem. I note that you are already on Plaquenil (hydroxychloroquine) (SLE?). If you are already under the care of a rheumatologist, consider getting an immune evaluation as well because of the low IgG (how low?). If the problem progresses, you need to go to an university center for further workup.
Dr. Dennis Ruditser
Internal Medicine 9 years experience
Biliary disease.: You're doctor is looking for evidence of cholecystitis (infection of the gallbladder) or any obstruction in the bile ducts. Cholecystitis can occur without a gallstones which is known as 'acalculus cholecystitis.' Any liver disease or IBD (crown's or UC)?

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Last updated Feb 3, 2018

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