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Common Bile Duct

Posted On : October 04, 2021
Primary common Bile duct stone years after gallbladder removal

13 responses to “Common Bile Duct”

  1. Years ago I had my gall bladder removed. I am 73 and having continued diarea. Test shows bile duct Dilation to 11.7mm. What does this indicate?

  2. Hello,

    I am a 28 year old male. I recently had a sharp pain in my lower right quadrant while I was straining during a bowel movement. I went to my primary care physician and he couldn’t feel a hernia and suggested that I get an ultrasound done. The ultrasound report shows that everything is normal except for the common bile duct. It says “The gallbladder is normal-appearing, but the common bile duct is dilated to 8.6 mm. No distinct obstructing lesion is noted, but further investigation may be needed.”

    I have my gall bladder and I am 5’7′ with 194lbs. When I had an ultrasound done in 2018 July, it showed that I had grade 1 fatty liver disease which has now been resolved (did not show in the ultrasound today). I also have high cholesterol and high triglycerides.

    What could cause this incidental common bile duct dilation?

    • There are a number of possible causes for dilation of the common duct. You need to be seen by a GI specialist for further evaluation. This may include, MRCP, ERCP, endoscopic ultrasound.

      • Thank you for your response. My LFT tests were normal. Should I still be worried about anything sinister? I suffer from health anxiety and I am worried if this could be cancer.

  3. If gallbladder was not removed at time of DS, CT and MRCP scans indicate gallstones (gallbladder layering as well as suggested impacted stone at ampulla) plus 7 mm common bile duct and 3mm pancreatic duct dilation (head of pancreas)…what are the other options to get a good diagnosis (CT and MRCP unable to eliminate cancer as a cause – recommended correlation with ERCP as next step – clearly they do not know about DS anatomy)? Since we know ERCP is not possible post-DS due to lack of anatomical route? Many thanks.

    • The next and only option is for Laparoscopic cholecystectomy and intraoperative cholangiogram. It is critical that the surgeon doing the Lap Choly is comfortable with doing the intraoperative cholangiogram. It should be recognized that ERCP is not an option and if there is a stone in the biliary tree it needs to be extracted surgically. This point needs to be clear to all caregivers.

  4. i recently had ercp for obstrutive jaundice.ct scans showed dilated cbd bloods showed raised lfts alp 660 billirubin 75.i had a metal stent fitted and stone removed how long does it take to recover.i,d been ill for 3 weeks

  5. Recently, I had a fall down stairs at home. Due to an increase in pain in my lower back, the doctor ordered a CT Scan. I have had my gallbladder removed, and I am a post Roux-En-Y patient as well. In the results, it says “dilated common duct with distal tapering, please correlate with LFT’s, or MRCP can be helpful for further evaluation.” Should I be concerned about this?

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