Top
30
Doctor insights on: Causes Of Common Bile Duct Dilation

Share
1

1
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?

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

Dr. Thomas Inwood
1 Doctor shared a insight

Biliary (Definition)

Biliary means anything related to the production, storage, secretion, or flow of bile, whether in the liver, bile ducts, gallbladder, ...Read more


2

2
What causes your common bile duct to be dilated 12mm when you don't have a gallbladder.

What causes your common bile duct to be dilated 12mm when you don't have a gallbladder.

Sphincter muscle: At the end of the duct, just at it's entry to the intestine. There is a circular muscle that closes off the duct when bile is not needed to digest foods. Since the liver never stops making bile, it will build up inside the bile ducts and stretch them out when a gallbladder has been removed. A stone could block the duct but will produce symptoms. The stretched open ducts happen without symptoms. ...Read more

3

3
What might cause a slightly dilated common bile duct when all of the other organs look good?

What might cause a slightly dilated common bile duct when all of the other organs look good?

Many things: You need to be thoroughly evaluated by your doctor. Only then can you find out what's going on and what can be done for you. ...Read more

5

5
I had an ab ultrasound. Showed my common bile duct and common hepatic duct were mildly dilated, no stones/masses. All else was normal. Causes? SCARED

I had an ab ultrasound. Showed my common bile duct and common hepatic duct were mildly dilated, no stones/masses. All else was normal. Causes? SCARED

Need more info.: This result only means that you need more testing before we can hazard a guess as to cause. Blood testing. MRCP or ERCP. There could, for example, be a stone that's not visible on the ultrasound. ...Read more

6

6
Severe pain, swelling and sudden weight gain had ct then mrcp both showed enlarged gallbladder and dilated common bile duct but nonspecific, poss causes?

Severe pain, swelling and sudden weight gain had ct then mrcp both showed enlarged gallbladder and dilated common bile duct but nonspecific, poss causes?

Need more info: The dilated common bile duct is more concerning and could possibly cause your symptoms. I would more information to be able to discuss further testing. Are your liver function tests abnormal? How big was the common duct? Depending on the above you may need an endoscopic ultrasound of the duct and the head of the pancreas. ...Read more

7

7
Diagnosed & hospitalized Apr-2 through Apr. 6 w/pyelonephritis, common bile duct dilation, dehydration, metabolic acidosis, renal cyst. Still in pain!

Diagnosed & hospitalized Apr-2 through Apr. 6 w/pyelonephritis, common bile duct dilation, dehydration, metabolic acidosis, renal cyst. Still in pain!

And pain: 55F DC from Hosp after pyelonephritis, bile duct dilation etc. Notes still in pain. Sorry about the pain you are having. You were very ill I suspect. But do you have a question? Your health care team there knows more about you than you can tell us. Therefore recommend if you have a question. You ask them. ...Read more

8

8
...2cm shadowing stone in the fundus. No pericholecystic fluid seen. No biliary ductal dilation seen, the common bile duct measures 5 mm. Meaning?

...2cm shadowing stone in the fundus. No pericholecystic fluid seen. No biliary ductal dilation seen, the common bile duct measures 5 mm. Meaning?

Gallstone: It seems like you have a gallstone sitting in there, not really doing anything. It’s not causing an infection. It’s not blocking the passage of bile. But it could. If it decides to move, that 20mm stone won’t pass out through that 5mm common bile duct. You may want to at least have a general surgeon aware of this. ...Read more

9

9
I have elevated liver enzyme ast (sgot)412 ALT (sgpt) 317 GGT 186 dilation of the common bile duct 1 CM no gallbladder?

Liver issue: Enzymes ast and alt are inside liver cells. When liver is injured by disease or medication, enzymes leak out, resulting in elevation. Can be due to many reasons, including medications like statins.

An elevated GGT suggest biliary problems, but is not that specific. The normal common bile duct measures less than 0.8 cm, but after the gb is removed, can be 1cm.

Complete history needed for this. ...Read more

10

10
What does diffuse dilatation of common bile duct & mild dilatation of hepatic ducts mean? Maximal luminal (phenobarbital) diam. Of common is 14-15mm. MRI sched. Liver

Dilated bile duct: The bile duct is the duct the drains bile out of the river and into the intestines. Dilated bile duct can be a sign of pancreatic, bile duct, liver, or gallbladder disease. It is an important sign, and it definitely needs to be evaluated until a cause is identified and taken care of. Do not hesitate to get the MRI and follow up with your doctor on the results. Good luck. ...Read more

11

11
CT Scan: "Liver is normal in morphology. Mild intrahepatic biliary duct dilatation. Normal common bile duct". Is this normal?

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

12

12
In sonography of my father in law I have seen common bile duct is dilated and measures 1 cms. Is it anything major about lever function? Hiw to go abo

In sonography of my father in law I have seen common bile duct is dilated and measures 1 cms. Is it anything major about lever function? Hiw to go abo

That is an: Abnormal diameter for the common bile duct. It could indicate that the duct is obstructed, and potential reasons include stones, stricture, or mass. If your father has had a prior cholecystectomy, it may be post op chronic dilatation. Correlation with liver function tests along with additional imaging with CT and/or MRI and/or MRCP may be needed to determine why the duct is dilated. ...Read more

13

13
My ultrasound report says "gall bladder is distended show smooth walls, lumen is echo free, common bile duct is not dilated" What does this all mean? Should I be worried?

Gallbladder U/S: This sounds like a normal report. Echo free means no stones or polyps were seen. No bile duct dilation is normal. Gallbladder distention can be normal (it fills with bile then contracts to release the bile with meals). Of course, the report should be interpreted by the ordering physician, taking into account your symptoms that led to it being ordered in the first place. ...Read more

15

15
I had a CT and it showed I had numerous puncate stones in my renal pelvis and that my common bile duct was dilated by 12mm what do these represent?

I had a CT and it showed I had numerous puncate stones in my renal pelvis and that my common bile duct was dilated by 12mm what do these represent?

Depends: Punctuate stones in pelvis are phleboliths and basically meaningless. Your cbd is a diff issue. The cbd can get distended with age but at your age that's to big. Also, if your gallbladder has been removed it's not uncommon to see the cbd get dilated. If not, you should have this finding further evaluated. A GI doctor can certainly help with that. ...Read more

16

16
Does Biliary Dykskinesia typically cause gallstones and/or increase in sludge? If so, how often do stones/sludge get stuck in the common bile duct?

Does Biliary Dykskinesia typically cause gallstones and/or increase in sludge? If so, how often do stones/sludge get stuck in the common bile duct?

Colicky pain: Gallstones/sludge cause symptoms referred to as biliary dyskinesia (not the other way around). Large stones can get stuck in the common bile duct but that usually causes severe pain and sometimes jaundice. Dyskinesia is pain that comes and goes, especially triggered by fatty food. The symptoms can be controlled with diet for a while but the best treatment is gallbladder removal. ...Read more

17

17
What and wher is your cbs located "common bile duct "?

What and wher is your cbs located "common bile duct "?

The common: Bile duct is formed by the coming together of the bile duct from the liver and the bile duct from the gallbaldder. It ends in the small bowel. ...Read more

18

18
Why would turmeric be contraindicated for patients with common bile duct obstruction?

Jaundice.: The color of turmeric and the color of jaundice caused by biliary obstruction in deep yellow. It is recommended not to use turmeric when you have biliary obstruction ...Read more

19

19
Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

Status post cholecystectomy with prominent gastrohepatic common bile duct measuring 7mm means what?

GallBladder: "Post- most often relates to "AFTER" and cholecystectomy to the surgical procedure to remove the gallbladder. Post-cholecystectomy = their has been surgical removal of the gallbladder. This term may be used in the patient history or as part of radiology reporting. The common bile duct diameter of 7mm is normal for your age. See http://www. Ncbi. Nlm. Nih. Gov/pubmed/21144686 for publication. ...Read more

20

20
What are the symptoms of common bile duct inflammation & can this occur several years after having a cholecystectomy?

Pain, fever,: And jaundice are typical, less likely pancreatitis and cholangitis, both serious conditions. And yes, it can be a stone that was present at the time of your cholecystectomy that was not found or overlooked or a stone that formed subsequently. If this is suspected, it can be confirmed by mr cholangiography; or ercp, an endocsopic x-ray and procedure during which a stone, if found, can be removed. ...Read more

21

21
What are common bile duct stones? Are they serious?

Yes: Common bile dict stones ate similar to gallstones but can be dangerous as they can cause blockage resulting in infections such as cholangitis and pancreatitis. ...Read more

23

23
If the common bile duct is occluded will it always produce green emesis??

If the common bile duct is occluded will it always produce green emesis??

If its totally: Occluded the bile has to go somewhere....the blood (jaundice) or backwards to the stomach (nausea vomiting) Hope this is helpful and I assume you are under a Physician's care!

Dr Z ...Read more

24

24
I have an inflammed common bile duct with no stones determined during gallbladder removal. What can be the other reasons?

I have an inflammed common bile duct with no stones determined during gallbladder removal. What can be the other reasons?

The stone passed: If you are otherwise recovering well from gallbladder removal surgery, you can rest assured the inflammation was part of the disease process and nothing more. If you have jaundice, yellow eyes and skin, losing weight, feeling poorly then get in to your doc, consider ERCP and biopsy. Be well. ...Read more

25

25
Elevated ALT & mucosal irregularity of common bile duct. Other labs normal range. See the specialist Monday. What questions should I ask? Concerns?

It is possible: That a liver biopsy will be in your future if your elevated ALT is not explained...be prepared for a LOT of QUESTIONS ASKED!!!! (maybe not so much answered) It takes some "detective work" sometimes when a single lab test is abnormal..... (PS the mucosal irregularity may indicate that a GALLSTONE was passed and that may be the ANSWER to your "mystery!! " Hope this helps!
Good Luck Dr Z ...Read more

26

26
I have adenomatous tissue in common bile duct, is that same as the adenomatous polyps or is it just the beginning stage, I am an fap patient as well?

See your doctor: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more

27

27
What to do if I have borderline extrahepatic common bile duct and have had trouble finding any information on the topic.?

What to do if I have borderline extrahepatic common bile duct and have had trouble finding any information on the topic.?

Ductal dilatation: I would be happy to answer your questions about bile duct dilatation. If you have the test results that show the dilatation, and if you have any recent blood test, particularly liver tests, this would be useful. You can consult me on HealthTap Concierge and I will be happy to work with you. Good luck. ...Read more

28

28
I just had a stent put in by my common bile duct, is it normal to have a tender feeling where my gallbladder is?

I just had a stent put in by my common bile duct, is it normal to have a tender feeling where my gallbladder is?

Yes: I do not know why you had a biliary stent placed, but it is usually for some type of bile duct blockage. Upper abdominal discomfort and yellow jaundice would be very common, and would gradually resolve over a few days after the stent is placed. ...Read more

29

29
What is inflammation of the common bile duct & mucosal irregularity? Is it something to be concerned about? Can it heal itself after gallbladder removal

What is inflammation of the common bile duct & mucosal irregularity? Is it something to be concerned about? Can it heal itself after gallbladder removal

Yes you should: It depend on the circumstances around the inflammation and what symptoms you have. I will be concerned and I will check with my GI for proper evaluation. ...Read more

30

30
What happens when the distal end of the common bile duct decrease from 7mm to 5mm?

Stricture: This is called a stricture. The more important question is why and if it is causing liver enzyme elevation or symptoms. You should see a doctor for this. One that apexializes in biliary surgery. Let me know if I can help finding one. Www. Drlugo. Com. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


Duct (Definition)

Is a channel leading from a gland or an organ, for example lactiferous duct leads from mammary gland to ...Read more