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Doctor insights on: Distal Common Bile Duct Stricture

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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

Stricture (Definition)

A stricture is an anatomic narrowing of any structure in the body with a lumen. Depending on the organ, the underlying causes can be traumatic, ...Read more


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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

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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?

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?

Need ERCP: You may have retained stones inside bile ducts most likely in the common duct , ERCP and and retrieval possible in most of the time , see a GI specialist ...Read more

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What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

What is treatment painful liver segment 7 subcapsular benign biliary cyst, dilated bile duct? 5cmx5cmx1.3cm. Past history lapchole with bile leak 2005

Need further testing: even though you have had your gallbladder removed . you still can form stones within the common bile duct. which will cause billiary pain. Have your doctor check your liver function tests---if elevated do an ultrasound of the liver ...Read more

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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

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How painful is membranous urethral stricture dilatation ?

How painful is membranous urethral stricture dilatation ?

Moderately painful: This most often done using local( Lidocaine) anesthesia in the office, The pain also depends on the severity of the stricture. If severe, an optical internal urethrotomy ( cutting the stricture using a cystoscope) may be done with general anesthesia ...Read more

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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

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

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GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?

GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?

Need context...: ...for which your test was ordered. Also, your question is ideally & confidentially answered in the Concierge forum of HealthTap--would suggest you consider that route to your query. ...Read more

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What leads to obstructive jaundice(distal cbd obstruction) secondary to choledocholithias with cholangitis?

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

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Age63, f, remove 1 stone from bile duct during ercp.What r the possible reasons 2 remove gallbladder?Can this be avoided?

Age63, f, remove 1 stone from bile duct during ercp.What r the possible reasons 2 remove gallbladder?Can this be avoided?

Gallbladder: The stone removed from the bile duct came from your gallbladder. If you don't get your gallbladder removed you will be at risk of having the same problem again. ...Read more

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Bilateral lung nodules,Atelectasis prior papilloma thyroid CA.Pituitary Adenoma,Chiari Malformation,FMD,enlarged common bile duct no stones. Genetic?

Bilateral lung nodules,Atelectasis prior papilloma thyroid CA.Pituitary Adenoma,Chiari Malformation,FMD,enlarged common bile duct no stones. Genetic?

Maybe genetic: Probably should have genetic consult. Forinstance Chiari malformation, fibromuscular dysplasia, and thyroid cancer can be associated with neurofibromatosis. Lung nodules are non specific and can be from some infections but also metastatic disease sometimes from papillary thyroid cancer. You may want to consult a geneticist physician. ...Read more

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Why diarrhea in biliary duct obstruction? Can explain mechanism ? Thank

Undigested fats: If your bile duct is blocked you are not able to effectively breakdown fats which can lead to diarrhea. ...Read more

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If my surgeon sees a stone in the pancreatic duct or common bile duct during intra-operative cholangiography, can he remove the stone during surgery?

CBD stones: It depends on the surgeon. If intra-operative cholangiogram is done and showed a stone most would defer it to the GI specialist to do a procedure called ERCP to remove the stones. ...Read more

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Which one increase risk of gallbladder cancer: acalculus cholecystitis(no stone) or fistula in gallbladder and intestine? ?

Which one increase risk of gallbladder cancer: acalculus cholecystitis(no stone) or fistula in gallbladder and intestine? ?

Both conditions: By themselves probably do not increase chance of gallbladder cancer. If it does, it is still very very low. Even if you have gallstones, chances of developing gallbladder cancer is very low. Unfortunately, once you develop gallbladder cancer, chances of survival are quite low. ...Read more

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Mrcp confirmed bile duct obstruction and sphincter of oddi contraction. Severe sharp stabbing pain, nausea, and visible swelling. Er?

Mrcp confirmed bile duct obstruction and sphincter of oddi contraction. Severe sharp stabbing pain, nausea, and visible swelling. Er?

Sure: With a known bile duct obstruction and you with severe pain, go to ed to assure your gall bladder does not become severely and acutely inflamed, etc. Good luck. ...Read more

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F, 63, what is the alternative to remove stone instead of removing gallbladder?(remove 1 stone from bile duct through ercp) any risk?

F, 63, what is the alternative to remove stone instead of removing gallbladder?(remove 1 stone from bile duct through ercp) any risk?

Gallbladder: The stone removed from the bile duct came from your gallbladder. If you don't get your gallbladder removed you will be at risk of having the same problem again. ...Read more

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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

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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

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Had 2 US: 06/2015 9:30am, Common Bile Duct - 3mm; 05/2016 11:15am, CBD is 3.6mm. Both fasting. Is the size increase of CBD a concern (20% increase) ?

Had 2 US: 06/2015 9:30am, Common Bile Duct - 3mm; 05/2016 11:15am,  CBD is 3.6mm. Both fasting. Is the size increase of CBD a concern (20% increase) ?

Highly doubtful that: it is significant, both measurements are in the normal range. Changes of a few tenths of a millimeter are likely simply due to slight differences in measurement technique or normal physiologic changes. ...Read more

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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

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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

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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

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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

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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

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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

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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

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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

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I had a billary Stent placed in my common bile duct in April and I have been having episodes of feeling like I am being punched in my stomach. Could ?

I had a billary Stent placed in my common bile duct in April and I have been having episodes of feeling like I am being punched in my stomach.  Could ?

Need follow up. : Sometimes the stent can become clogged or displaced. Call the doctor who placed the stent. For severe pain or fever may need to go to the ER. ...Read more

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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

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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

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

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

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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

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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

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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

Dr. Sandra Lora Cremers
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


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