Doctor insights on:
Bile Duct Stricture
Gall bladder and removal of stone at the junction of cystic duct and cbd via open surgery. Stone of 15mm in bile duct and bile leak after 10months?
Right upper abd pain: Gallstones can cause no symptoms or pain in the upper abd especially when eating fatty food. Go to your doc for referral for ultrasound. If you have symptomatic gallstones you may need to see a surgeon for gall bladder removal. Untreated, it can cause a more serious infection. ...Read moreSee 2 more doctor answers
What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005
Does MRCP without secretion check for fatty liver, bile ducts, gallbladder and pancreas for gallstones, tumours, infection or inflammation?
What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?
Usually a gallstone: Usually a gallstone causing obstruction of the common bile duct can cause sudden painful jaundice, sometimes with associated cholangitis (infection of the bile) This requires drainage and extraction of the stone from the common bile duct with a procedure call ERCP. Other causes can be tumors causing obstruction, which is more often painless and gradual. ...Read more
F, 63, what is the alternative to remove stone instead of removing gallbladder?(remove 1 stone from bile duct through ercp) any risk?
Please Clarify: The sphincter of oddi is a normal anatomic structure at the point where the bile duct enters the intestine (see duodenal papilla on pic above). Dysfunction of the sphincter, though very rare, can simulate gallbladder-type pain & is a possible explanation for ongoing pain despite gb removal. This can be diagnosed by endoscopic testing & treated by cutting the sphincter. ...Read more
Gallstone: Just the presence of a gallstone on a study in and of itself is not an indication for surgery. Symptoms of recurrent upper abdominal discomfort with gas bloating & nausea after eating, painful yellow jaundice, recurrent vomiting after eating, abnormal liver blood tests; each can be an indication for surgery. Discuss and review your symptoms with your doctor. ...Read moreSee 1 more doctor answer
Gallbladder: An ultrasound can be suggestive of inflammation of the bile duct, sludge or stones in the gallbladder, or other anatomic abnormalities. All studies should be done based on symptoms and blood tests - this gives you the whole picture of what is going on. A CT scan may be helpful as well. ...Read more
Possible but rare: If stones are formed in the ducts are called primary ductal stones can happen not due to your reason but very rare, more commonly due to retained stones or secondary stones ( existing stones during surgery ) or gravel in the ducts which may grow with time. ...Read more
MRCP "Persistent mild dilation of the central intrahepatic duct. There are areas of mild narrowing & irregularity of the intrahepatic ducts & proximal common duct. No dilation of common bile duct. Gallbladder sludge is present." What causes this?
Nonspecific: I believe that the ductal findings are nonspecific. Sludge in the gall bladder can cause abdominal distress and indigestion. A gastroenterologist would sit down with the radiologist and review the images and decide whether more imaging studies like an MRI or liver biopsy are advisable depending upon your symptoms or lack of symptoms. ...Read more
No association: Salivary duct cancers are rare and probably induced by exposure of duct epithelium to viruses. The acid and bile refluxing in the esophagus are associated with GERDs and potential malignant changes in the lining of the lower esophagus. Barretts esophagus can become associated with dysplastic epithelium and continue to transform until GERDS brought under control ...Read moreSee 1 more doctor answer
CT Scan: "Liver is normal in morphology. Mild intrahepatic biliary duct dilatation. Normal common bile duct". Is this normal?
Relatively normal: If the radiology report states normal morphology it is fairly certain there are no big worries. We do not know why the scan was ordered but mild intrahepatic biliary duct dilatation may be completely normal for this patient. The normal common bile duct finding means the liver, pancreas and gallbladder empty in to a normal duct that drains into the intestine. All good findings. Good luck. ...Read more
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