I had gallbladder removed in 1982. In 2011, I started throwing up & kept throwing up, went from 127 to 96. Finslky got a good dr, who said I had dilated bile duct & also 14cm cyst on right kidney. Nothing cld be done until cyst was drained. Had that drained in Aug & kept throwimg up. High liver function trsts & low potassium, low calcium(malnurished). Had ERCP in Oct. Got better but still no appetite. Gotta hv cyst removed, since it is growing back. Am scared to eat. Is that normal? Will bilecduct dilate again? What happenrd? Hello, Hello, Biliary track dilatation is commonly seen after GB removal.Unless you have Gallstones formed in the biliary tree after your GB surgery (this is known and primary biliary stones) then I do not think that your symptoms are results of the dilated ducts. You may have mild elevation of some of the numbers transiently. Long term elevation of the LFT (liver functions tests) should be evaluated.
Hi I am a 23 year old female I had my Gullbladder removed a year ago and er doctor told me it was a good idea to see my surgeon again because my bile duct was dilated when it wasn't in previous scans what could this mean I have severe upper quadrant right pain so bad I can't walk at times nor breath and super bad nausea and the pain is worse than before it was removed should I be concerned? It is common for common bile duct to dilate after the gallbladder removal.
My father is suffering from locally advanced carcinoma Head of pancreas, Underwent SEMS just a month ago.That time CBD was dilated 14.2 mm now its 25 mm. The dilation of CBD again created obstructive jaundice with cholangitis.Is a by pass surgery possible in this case. Hello, Hi there. I have multiple orthopedic problems, afib, and neuromuscular disease, type unknown, and am on tons of medications. Had gallbladder removed 3 yrs ago, due to multiple stones, ongoing pain and nausea. A high-attenuating lesion was seen on liver at that time, but I was not informed of it. I had a mild reaction to tuberculosis test 8 years ago. Pain continued, is often excrutiating and am having nausea again. Often can't make the 189 mile round-trip to ER till days later; liver function tests then show within normal limits. Have lost 60 lbs. New CAT shows lesion has not changed much; doctor hasn't returned my calls. These are govt. drs., and don't have insurance anymore. Can you suggest anything I can ask my doctor to test for or ask about…I am at a loss as what to do, and am so sick now I'm almost helpless. Any ideas could help. Hello, Is it possible for a common bile duct to be dilated 30 years after the removal of my gallbladder? Hello, Yes it is not only possible but expected that after choly, the common bile duct will get dilated. Does it continue to dilate further over years? Recent studies show increased dilation by quite a few mm as I have been continuing to have gallbladder attack like symptoms every day. Mine was remove in 1990. Has gone from 10 mm to 13 mm in the last year and a half according to this weeks sonogram…presently awaiting mri results to look further. IF you are having symptoms similar to that of gallbladder, then you may have gallstones that are formed in the biliary track, and need to be evaluated. See your doctor. Had CT for lung mass, then bronchoscopy – all OK – NO Ca. You may ave a common duct stone. I had my gallbladder removed in 2004. The pain prior to the removal of the gallbladder was excruciating To the point of complete delirium I was told by The surgical team that there Were numerous gallstones and apparently they were not all removed at the time of the gallbladder surgery, henceforth I developed gangrene. I was sent to San Francisco to a specialist who performed an ERCP and after two weeks in the hospital and several months of recovery I am still having issues! I was told it was only scar tissue , but an ER doctor recently told me My common bile duct is dilated , Could it be possible that one of those gallstones could still be lodged in the common bile duct after this many years?
Hello. Had an MRI four days ago, findings are “common bilary duct dialation” I had my gallbladder removed over a year ago. I also have crohns disease. They are ordering an ERCP and marked a referral “urgent” to the Medical University in my state. I have had pain when I eat for Seven- months. I asked for an MRI i am always told it’s a “crohns flare” when I go to the doc or ER. My blood work isn’t great as far as markers for pancreatitis and “liver function” which I know could mean an abundance of things… they say it may be a “complication” from a previous surgery. My question is, why are they sending me to a surgeon?
Hi I 37 years old and have IBS and have a small gallstone. The doctor told me that I have a dilated common bile duct and need to see a gastro. Is that bad?
Can someone please explain what is really means and what are the options out there. I have no symptoms of nothing.
Hello,
I am not sure gallbladder dilates common duct. Gallbladder removal over time will result in dilation of the common duct. hello, 47 year old woman with hep c. no cirrhosis or fibrosis. alt & afp Levels high and ultra sound showed a small lesion on spleen and common bile duct blocked. Dr wants to skip MRI and do ERCP. Im reading that can be risky but he says its the best way to treat/ see whats going on inside and scheduled me for the surgery. Any advise on if I should push MRI first or just get the procedure done? Would prefer to avoid any invasive & risky procedures if not needed. Thanks
Feeling very scared, wondering if you can provide some insight. A few days before XMAS had some terrible discomfort in right upper quadrant (below rib). Mind, this has been ongoing for several years, the discomfort. 2x in the past it resulted in a trip to the ER because the pain was severe. Last trip was about a year ago, everything showed normal and I was sent home. This most recent trip showed a dilated common bile duct 5.8mm, previous had been 4mm. The see no “stone” and have “suspicious for obstruction” on the comments. My question is, I feel this has been an ongoing issue for years. Is this something that can flare up and then go away? I have nausea nearly every day, I have been used to it for years and years. Sometimes it’s worse than others. I have a GI appt this Friday. Feeling very anxious, so scared that I’ve can’t stop crying.
I have been told that I have a minimal dilated common bile duct. . What does this mean. Do I need my gall bladder taken out.
I had my gallbladder out about 3 mos ago then still having the attacks and itching I was referred to GI specialist and since my biliary duct was up to 13mm they said I had blockage. I had a tumor that was removed then ended up with pancreatitis the next day even with stint. It has been a month and a half and I still can’t eat most food and having pain and pressure in biliary duct. They did a ultrasound today and duct is only down to 12mm. I don’t have an appt with my surgeon for another week so I’m just wondering if it just takes a long time for swelling to go down or could it still be a problem.
51 yrs female. Has multiple max size 8mm gallstone and filling defects in cbd. In mrcp cbd dia found 13.7mm. After that in Feb 2017 ercp done and 2 stone 7.4 dia removed. After ercp again mrcp done. It shows dilated cbd 14 mm. GI surgen says that gal bladder and CBD both needs removal.Is Dr. right.
Hello, I need clarification on this, my friend went for MRI and it was found out that her gall bladder is enlarged…is there a remedy for this and what should be done for her Hello, I am female 49 years old, and back in january 1999, I had my gallbladder out. I have had CT scans over the course of time since then, not many, but there was never any dialation on the CBD even my CT scan from June 2016 it was fine. For this last year, I been declining, not eating weight loss, low
grade fevers they run from 99.2-101 I am severely fatigued whole body fatigued actually, and I am continuing to go down hill right now my weight loss is 2+ pounds a week (that is a conservative number), I have been going thru tests and they repeated my CT scan end of March 2017 and now I all of a sudden have a 7mm dialated CBD, my wbc and alt and ast and such are normal- I do have some tests that are off, but are urine related, I currently have and had trace blood in my urine the past year, my
creatinine is a touch high but not much, it is 1.3 (range is (0.5 – 1.2) , urine squamous epithelial cells 3+/lpf and my estimated GFR non african american is low 44 ( range >60) urine bacteria 1+ and urine mucous 1+ and Potassium is a tad low 3.2 (range 3.4-5.4) Ohhh I have stage 3 kidney disease, sjogrens syndrome, swollen lymphnodes in my neck and my right armpit feels like there is something in there when my arm is at rest, I had a rare septecemia May 2016 with no cause, was deep in the
muscle that ran from the sternum to the left AC joint, no sores no cause,( kidney disease came from this as the septecemia ) that is why I had a ct again back in June 2016 and my CBD was normal at that time as I mentioned. My symptoms, extreme nausea no meds help, vomitting, weight loss, whole body fatigue, whole body aches, low grade fevers, ohh and last spring 2016 for the first time a 3mm angular nodule in the upper right lobe of the lung was found, and the recent CT march 2017 showed same
nodule same 3mm but a new change is Linear fibroatelectatic change is present
I am a 59 y.o. Hispanic female, I got my gall bladder stone removed 15 years ago. One year ago, I started having pain in my right side upper quadrant.An ultrasound revealed my CBD was 7.6 two months later was 6.3. I went to see the doctor on August 24/2017 , she ordered another ultrasound , which revealed the Common Bile Duct has increased to 12 mm in less than a year. No symptoms, no jaundice. I just was referred to a GI doctor. What could that be. I am really worried. Thank you for your response
I am a 66 yo male. Laparoscopic cholecystectomy to remove gallbladder in 2011 due to low function…. 16%. No gall stones present. Off and on, slight and infrequent pain in same location as gallbladder, usually short-lived. About a month ago, began to experience same kind of pain, but it has been much more frequent. No vomiting. Have seen my GP and he had all sorts of liver/pancreas blood tests done…. all came back normal. I have NO jaundice, but some diarrhea issues similar to right after my surgery. GP is sending me for an ultrasound. I have severe anxiety issues, and always imagine the worst-case scenario. Could this simply be pain from my bile duct having dilated over the past six years? Even though I had no gall stones in my gallbladder, could a stone have formed in the bile duct? Called gastro doc’s office and spoke with nurse. She said to see GP first and he could do all sorts of tests to determine if I needed to see the GI doc. She said my pain, queasiness and diarrhea issues could simply be from “a bile dump” …. not exactly sure what that means?? I know you can’t diagnose based on this limited information…. but I would certainly find some peace of mind and lessened anxiety if you could tell me some things this *might be*…. other than something terminal. Thank you!
For almost 3 years I have been experiencing pain in my right front rib and mid back. Blood work has always been good. Ultrasound showed no stone or sludge but did show a slightly dilated common bile duct. Doctors said it was nothing to be concerned about. I had a colonoscopy and endoscopy. All good. Recently I had a CT scan and with the exception of a hiatial hernia all was good. This evening I had dinner and had some acid reflux and my back and rib have been hurting since.
I have had an elevated liver enzyme
for a few years. I had an upper right quadrant ultra sound that showed sludge in the gall bladder. I went to a GI and he said that the elevated enzyme may just be my “normal” but wanted to run other blood tests…those tests came back showing the slightly elevated enzyme as the same as before. He suggested that we do a liver biopsy just to be sure. I had that procedure done last week. All the tests results of the biopsy came back showing no abnormal liver function but that I had CBD measures up to
10
53 year old Female had my Gallbladder removed 4 years ago. I was told and shown a photo my Gallbladder was embedded in my liver. I have been having severe right upper quadrant pain within a few months bile duct dialation went from 5.5mm to 10.5. I had MRCP no stone or blockage found, Liver enzymes elevated and have tripled in just 2 days. I have been referred to GI specialist however the pain is nearly unbearable. I also have hemochromatosis. It has been 4 days since my last bloodwork. Is it safe to wait to get into a GI Dr. or should I return to the ER. Pain meds are not helping. Thank you
Hi Had my Gallbladder out in 2013. Found lots of stones. A year latter the same pain I had when I went in for my gallbladder surgery came back. Had an endoscope and a colonoscopy, Nothing noted that was remarkable. Pain went away mostly would come back here and there, off and on. Since Jan. 2018 the pain has been constant. My liver functions have always been normal, even when my gallbladder was removed. Just had mri and it says that my common bile duct is dilated to 1.4 cm it says there is no evidence of stones and there is no biliary stricture or evidence of a biliary or ampullary mass. Says it’s possible it could be an ampullary stenosis. Says that common bile duct abruptly tapers in caliber at the ampulla vater. If I do not have bloodwork that is off is there anything they could do for the pain?
Maybe you can help me… I went to the er a month ago And I’m still
having pain. ( my symptoms include… Pain and burning in stomach… Nausea everyday… Back pain.. Bloating I’m tired all the time I wake up sweaty i had a swollen lymph node in my throat (nowhere else) that i thought was because of a tooth ache i was having ) I had my gallbladder removed in 2004, since then i had a hysterectomy 2012 endometriosis (found during hysterectomy) gastric bypass 2014 and pancreatitis 2 months after that surgery) when I went to the er they wrote…
Hi Dr. i suffer from chronic constipation and have become pretty dependent on Over the counter laxitives for years now. To lose my last 10 baby pounds, about 5 months ago i out myself on a 1250 calorie a day diet and drastically increased my fiber in take to probably over 30g and increased my water intake to 60-80 oz a day. Im not sure if my problems were caused by my new diest and fiber increase (as ive always suspected fiber intolerance), but my constipation got worse, and laxitives stopped working all together. Enema and suppositories also have not helped. Increasing more fiber and water seems to just make things even worse. Oh and even worse, i have gained 9 pounds so def not the direction im was aiming for. I am taking excessive laxitive to have some relief but nothing is happening, not even after taking prescription. Finally my primary suggested i see an GI specialist and had a CT scan in the meantime. Other than the horribly itch skin which keeps me up at night, i don not have any of the symptoms of blockage, i have seen any weightloss in fact the exact opposite and i do not have unbearable pain. However i have constant bloating, and abnormal flatulate and smell. My CT scan result indicated some concerns but i wont know what it all means until i see the GI, which wont be for another few weeks. My ct indicated i have: dilated CBD, liver enhaces homogeneously without focal mass. It is of mildly diminished attenuation suggestive of hepatic steatosis. Mild intraheptic biliry ductal prominance with dilation of the CBD measuring 12mm in thecoronal plane. Spleen enhances homogeneously and not enlarged; Galbladder is mildly disentended but no gallcified gallstones or associated inflammatory changes; small bowel without obstruction; modorate stool throughout entire colon; mildly prominent lymph nodes within the mesentry but no confluent or pathologic mesenteric lymphadenopathy. I dnt know what all these mean, i have exhausted the Internet trying to figure out something until i see the GI…i cant see continuing like this until i see the GI? I dnt have pain but i am extremely uncomfortable, finding it hard to be active, so ive stopped my daily exercises, i’ve just in the last few days stopped with the high fiber diet, and the itchy skin is unbearable. Not sure if ER will actually do somethjbg by getting a GI specialist to see me asap or will they just send me home only to make an appt at a later time. Im also worried if by the i see the GI thigs could get more complicated or even an infection. Any suggestion you can offer will be greatly appreciate it! Thank you.
Hi Dr. Ara, for the past 1 1/2- 2 years I have been having RUQ pain off and on. Sometimes it’s just an aggravating discomfort, other times the pain is so severe I can barely move. The past few weeks/ months the pain seems to be getting worse and more frequent. 2 weeks ago I went to the ER because the pain was so severe. My LFT and other bloodwork came back normal. I had an Xray and ultrasound done and the only abnormality that they found was biliary dilation with Common duct measuring up to 10mm. I have an appointment in 2 weeks for an endoscopic ultrasound. My question is: would the dilation cause severe RUQ pain? I get intense pain in my upper right rib area. Sometimes the pain shoots through to my back, right around my right shoulder blade. Other times it goes to the center of the upper chest area. I used to get the pain off and on with at least a week or two in between without any pain. Lately, the pain is every single day and it is seriously affecting my quality of life. I don’t have any jaundice. I’m not overweight. I am 39 yr old and I still have my gall bladder. Is it possible to have gall stones that aren’t visible through an abdominal ultrasound? Or can the dilation be the cause of this pain? Thank you for the opportunity to ask you my questions and voice my concerns.
Hi, had previous removal of gallbladder over a year ago. And went to ER recently experiencing ongoing RUQ epigastric pain. Have deranged LFT’s and so was referred for an MRCP which should dilation of the CBD to 10mm. Thus was referred for an ERCP which found no stones or anything. Hence would could be the reason for experiencing pain ? And why was I referred for an ERCP ?
I had a pain right up in my right underneath my breast bone right in the middle went to a gastrologist all they find is that on my bile ducks are dilated 9 cm I had all the test that for pancreas they said there’s no cancer no stone but nobody knows what’s going on why are my bowed ducks dilated nine help please
42 year old female, still have my gallbladder and have recently had an Er visit with severe pain. Referred to a Gi and got a endoscopy done. Everything looked normal but high cell levels on upper small intestines, got blood work for celiac disease, all came back normal, just got
ultrasound, liver & gallbladder look normal and it says dilation of CBD 6mm radiologist recommendation is a MRCP, They-ordered bloodwork for my liver and they are normal also. Now getting a stomach emptying test and a hida scan.
I have advanced polycystic kidney & liver disease. And. U/S showed atypical lesion in liver. MRI without contrast stated scan was sub-optimal for dx RCC and HCC, need contrast. It also said CBD is dilated at 9mm towards the ampule. I have low GFR so contrast is out. Should I be concerned.
Hi had gallbladder removed 28years ago suffering severe pain and found 30 gallstones,woke after the surgery in excruciating pain to be told by nurse it was just wind. The drainage system also took more days than other patients in hospital .was sent home and suffered this pain on and off for a these years going back to hospital numerous times to have ultrasounds to be told cannot find anything.this time only 2 weeks ago in hospital was given xray and mri scan to be told had found numerous stones in cbd with moderate obstruction.because of the suffering on day 1 of gallbladder removal have these been left all these years?liver function tests are also abnormal
Hi 33female. Slight back ache and sometimes little pressure on right hand side. Had ultrasound and ct scan nothing comes up, only a prominent cbd of 6-7mm ultrasound said 6mm and ct and 7mm. Nothing found. My doctor said she isn’t concerned about it and would like to leave it! I did have cholestatis while pregnant but that was 6 years ago. I do get heart burn and my last liver test was a little off but not major, ct showed slightly fatty liver. Having a repeat blood test but no idea why bile duct is more! What can I do? Doctors aren’t worried about it and said could be normal for me!
Hi Dr, I have been suffering from stomach, back and chest pain for 3 years now. I have done numerous blood test and all came back normal. I was at the ER 3 days ago due to severe back ,stomach and chest pain and this was accompanied with fever. All my labs came back normal and my blood pressure was fine but my pulse was high. Ecg was done and was normal and xray came back normal too. i was diagnosed by the ED provider with biliary colic. CT scan showed mild dilated common bile duct without any evidence of cholecystitis, cholangitis, or choledocolithiasis.im still in pain and I have been referred to a GI but I don’t know what to do now because I have no insurance. Thanks
Hello doctor , And surgeon asked us to take blood,urine,cut scan endoscopy and Finally MRI also they said everything is normal even we dont know what’s the cause for the pain and all. And finally a doctor said the found the dilated CBD of 2mm .So now what do we do please suggest and help us.
Right side back pain below chest after having door or some times before food and now today even while sleeping when turned up also the pin started and its lasts for 1.5 hrs and stops when we give pain killer injection.
Hi, My mother has been tolerating pain for so many years now. She can’t sit for long. She has to lie down. My mother’s upper abdominal hurts a lot whenever she sits at a place for too long or whenever we go to a 5-6 days tour or some kind of marriage function, she has to be hospitalized or has to be given medical attention in these occasions. She accumulates a lot of GAS in her upper stomach which leads to heaviness and difficulty. Whenever I press her back or her shoulders and give her massage, she starts burping and she burps a lot (a lot!!), it looks like the gas been trapped! She has asthma. She had her gall bladder removed 12 years ago in 2009. Now, the tests show: Mild hepatomegaly (liver size: 15.8 cm) AND the report says, “Post cholecystectomy status is noted. CBD measures 9 mm and shows distal smooth tapering at its distal end.” What does it mean? It shows distal smooth tapering? Please provide a detailed answer. It will help me a lot and make my mother’s life easy. Thank you Doctor. My 94yo father was in the ER last evening. They found that he has extremely elevated liver enzymes; (tot bilirubin 4.0 (0.2-1.3, direct bilirubin 1.7 (<0.4), AST 343 (17-59), ALT 351 (<50), Alkaline Phosphates 169 (36-126), NT-Pro-B Natriuretic Pep 2890 (<300); a 2.5cm soft tissue mass anterior wall gallbladder; multiple gallstones; gallbladder 2.6mm in thickness; common bile duct is dilated 14mm in diameter; left kidney 10.4×5.0x5.8 with 2.8cm simple cyst inferior margin. He has dementia, has been in a Nursing Home for 1 year. We do not feel that he would survive any form of surgical procedure. We are considering HOSPICE and was wanting to know what to expect for him in the near future. Hi Dr my mother’s gallbladder has been removed 18 years ago now she is suffering severe pain. In mrcp test it found dilation of common bile duct 12mm dr please tell me about it treatement.
Hi,
I am glad I found this blog where it talks about something that I am experiencing. I as well have discomfort in my upper left stomach, under my ribs. My situation started since I started working from home due to the pandemic. I have also gone to my PCP and Gastro doctor for this situation and they all tell me that it seems to be muscle related from sitting so many hours. I have had blood work done and shows nothing to worry about it. I had an endoscopy/colonoscopy done and everything was fine. They also ordered me an ultrasound and all my vital organs were fine, there is a small inflammation in the bile duct, but they say that it is normal when they remove your gallbladder. I do not have pain, rather discomfort, especially when I am sitting or lying down. I also have a hiatus hernia and suffer from acid reflux, but my Doctor tells me that will not cause that symptom. It is frustrating to be in that situation and not knowing what is happening. You always think the worst and that’s not good either. Do you think I might have stone in the Bile duct?
Hi…It took me 3 years to find a doctor that would be able to help me. I went to the ER 2 days ago and they referred me to a general surgeon. Thank you so much. I’ll keep you posted on the findings. The ct scan showed exactly what you said… Possibly a internal hernia or small bowel obstruction… Im going to see if they could also look into the possible stone in my cbd. I wish you weren’t in CA I would have made an appointment with you a long time ago.
… [Trackback] […] Find More on that Topic: dssurgery.com/common-bile-duct-is-dilated/ […] Hello! I am a 48yr old female who’s undergone 1) Cholecystectomy 2012-due to severe persistent URQ pain, CBD dilation 18mm N/V, weight loss of 30lb, and supposed gallstones; yet none found post-op 2) Ampullectomy 2013 due to benign adenoma, persistent symptoms above.
Thank you for answering so many questions. I tried to read through them all to be sure this wasn’t repeated. Would a stone (post gallbladder removal) show on a MRCP? Most likely or is there always a chance they/it could be missed. Also, any thoughts on why radiologist use language such as “no aggressive” intraheptaic lesions. I realize this is good; yet it would be better just to leave it off as it leads one to think there are other lesions and maybe lesions in general are just a normal part of aging. Most everything on the MRCP says no aggressive or no significant … I’ll take it as a win; I’m grateful. Many people are going through much more and my prayers are with them. At this same time, if I could nail down this being tied to a bathroom and unable to eat thing…. I’d be really happy. Weight loss isn’t pretty when you have no strength or muscle tone 😉 Thank you for all the educational information. You have a servent’s heart. Prayers for all. My daughter left the ER just a little bit ago and they sent her home with 500mg naproxen and paperwork on pleurisy. When I looked up her test results in the patient portal it doesn’t show any pleurisy. The ultrasound shows incompletely distended gallbladder making gallbladder walls loon thickened with no gallstones. She has really bad pain on her right side up higher and if she laughs, sneezes, or coughs it hurts even worse. I’m just not sure where to go from here. Hello, IF the pain is worse with eating, specifically fatty meals, then further workup of the gallbladder function is needed. A Dynamic HIDA scan may be needed. Additional pieces of information will include detail of the laboratory studies. I understand That has become the extra sizeable info and specifics for me. And i am animated examining your posting. But have to remark on some typical issues, the web site style is good; the posts are fantastic. Quite a few many thanks for that ton of tangible and attainable assistance. ทางเข้าสล็อต What causes common bile duct dilation?HG Dilated bile ducts are usually caused by an obstruction of the biliary tree, which can be due to stones, tumors (usually of either the papilla of Vater or the pancreas), benign strictures (due to chronic pancreatitis or primary sclerosing cholangitis), benign stenosis of the papilla (ie, papillary stenosis), or a ...
What is the most common complication of cholecystectomy?The most common complication is iatrogenic perforation of the gallbladder with spilt gallstones with an incidence of 10-30% [8]. Injuries during the laparoscopic cholecystectomy can be prevented by precise operative technique, clear visualisation of anatomical landmarks, and careful dissection of tissues.
What happens to the bile duct after gallbladder removal?Once the gallbladder is removed, the bile produced by the liver will flow directly into the small intestine, allowing continued digestion of fats.
How do you treat a dilated common bile duct?Your provider may prescribe antibiotics if an infection is suspected. If the blockage is caused by cancer, the duct may need to be widened. This procedure is called endoscopic or percutaneous (through the skin next to the liver) dilation. A tube may need to be placed to allow drainage.
|