Doctor insights on:
Large Gallstones Common
Variable: Gallbladder "sludge" is believed to be small stones (form of cholelithiasis). In the usa it is estimated, approximately 1-2% develop stones each year and approximately 1-2% become symptomatic. Gallbladder dysfunction, biliary dyskinesia (acalculous cholecystopathy) frequency is unknown. ...Read moreSee 1 more doctor answer
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: Gallstones can be found incidentally in many people who will never have problems with them. If you aren't having symptoms and there aren't any concerning findings on the imaging study that diagnosed them, they can be safely observed. Calcification of the gallbladder wall or stones larger than 2cm diameter are some findings that should encourage removal. ...Read more
Extremely rare : Symtomatic gallbladder disease is extremely rare, in medicine we never say never, but in 20 years of pediatrics practice I have never seen this in an 8 year old without significant congenital underlying anatomic GI disorder. That said, as a med student in Kentucky, during trauma rotation, I felt a gallbladder full of stones in a teen who was opened for exploration after car wreck. Poor diet... ...Read more
No: Studies have been done to try to 'dissolve'gallstones. Limited success seen can be seen with certain small stones while on the medication, but the stones recur off the medicine. No long term success naturally. ...Read more
Ultrasound results: large gallstone present in neck of gallbladder and tumefactive sludge. What is meaning?
See below: It means a gallstone is stuck in the neck of the gallbladder and preventing biles from leaving the gallbladder, causing the biles to clump up into debris, instead of being bile fluid. I would recommend talking to your physician regarding appropriate management. ...Read moreSee 1 more doctor answer
Many: Most often it is recurrent pain esp after fatty foods. Others include acute cholesystitis (stone lodged in cystic duct), pancreatitis ( stone lodged in common bile duct blocking the pancreatic duct), turning yellow, infection in bile duct ( can be life threatening) etch. Having said that, most people do not have any symptoms even if they have gallstones! ...Read more
Vomiting,: pain, distension.Get a more detailed answer ›
Congenital/BornWith : A ventral hernia is a defect in the musculature of the front of the abdominal wall. This occurs most commonly at the belly button, arising from a defect that many people are born with. Ventral hernias are also common after prior abdominal surgery--these are called incisional hernias. Regardless of its origin, these will occur more commonly after heavy lifting, obesity, etc. ...Read moreSee 1 more doctor answer
Uncommon : Duplication cysts occur in small intestine more commonly in jejunum and ileum (45% of intestinal duplications) and are in tubular and cystic forms.These cysts are uncommon.Symptoms include abdominal distention, vomiting, bleeding, & a palpable abdominal mass. Complications include perforation, intussusception, & bowel obstruction. ...Read more
MRCP shows a distended gallbladder, numerous calculi, common bile duct up to 0.6cm, no evidence of choledocholithiasis, abdominal pain 2 mo. Surgery?
IT'S A RISK FACTOR: Repeated abdominal surgeries might increase the likelihood of developing abdominal adhesions. In simple terms like cobwebs. These can sometimes be the cause of partial or complete bowel obstructions. The mechanism is different because the source is external as compared to a mass growing inside the bowel. Talk to your doctor about your concern. ...Read more
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
Yes: Small bowel obstruction is typically the result of a blockage of one's small bowel and presents with symptoms of crampy abdominal pain, nausea, and vomiting. This is typically caused by adhesions or scar tissue as a result of previous surgery. It is typically treated conservatively with bowel rest (nothing by mouth) and IV fluids. Surgery may be necessary at times. ...Read more
Maybe: Mild thickening of the wall is an image diagnosis, such as ultrasound or ct. There is no need to worry without symptoms. It is also related to eating or not eating. Without gallstones and without pain or discomfort nothing to worry about. But double check with your doc who ordered the test. ...Read more
It happens: Large hiatal hernias known as paraesophageal hernias can cause ulcers due to the stomach twisting back and forth. These are known as cameron's erosions, and are not uncommonly the cause of anemia that has no other known cause. I see 1-2 patients per year with multiple tests over 1-2 years, only to finally have their hiatal hernia repaired and their anemia resolved. ...Read moreSee 3 more doctor answers
Can be: Having stones may not be a problem-if they stay put (may be associated with increased risk for gallbladder cancer). Passing stones can be a serious problem- aside from pain, can get stuck, cause blockage, infection, and/or inflammation of the pancreas. These can be serious, even fatal problems. Good idea to remove gallbladder if symptomatic stones, or other uncommon conditions. ...Read more