MRCP done
Report- Gallbladder is distended, multiple calculi are noted within the lumen. Largest calculus measures 2.0 CM. Mild diffuse wall thickening is noted. There is evidence of mid CBD calculus noted measuring approximately 2.1 CM. Dilated proximal CBD and mid to moderate IHBRD is seen. The calculus is mainly at the junction of the cystic duct with the CBD ( MIRIZZI SYNDROME)
Impression-
Acute calculus cholecystitis.
Choledocholithiasis ( mirizzi syndrome) with dilated CBD and mild to moderate IHBRD.
Mild hepatomegaly
Pancreas and peri pancreatic fat planes are normal.
ERCP done-
Impression-
Choledocholithiasis/Cholangitis
ERCP
CBD Stenting.
Jaundice is coming down slowing, presently the billubrin is 10.
Please guide us for the way forward, what type of surgery is preferred, need guidance for a good surgeon to perform.
Answers (1)
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Patient will be requiring a laparoscopic cholecystectomy ( Most probably in this case scenario, a sub- total cholecystectomy with retrieval of stone in the neck of gallbladder/ mid CBD)
Your gastroenterology should be able to guide you about a good surgeon in your area
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Gastroenterology
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