Q. Is gallbladder removal necessary for multiple gallbladder stones with extrapancreatic walled-off necrosis?

Answered by
Dr. Lalit Bansal
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Sep 04, 2020 and last reviewed on: Sep 08, 2020

Hello doctor,

My present condition is multiple gallbladder stones (size 2-5 mm. identified before four months) and asymptomatic extrapancreatic walled off - necrosis (size as per USG 8.7*5.1 cm identified a month back).

Complications: WON is abutting GB fundus.

I had acute pancreatitis. Gallbladder stones were also identified but not removed due to medical conditions. At that time I had severe pain, nausea, vomiting, and multiple organs were affected.

Presently, I do not have any symptoms like frequent vomiting, nausea, severe pain or fever. I had an occasional mild pain in the upper abdomen (very rare, especially when I take heavy food) and gas issues.

Below are the recommendations given by doctors. I request you to review my case and suggest the best:

1. Remove GB and possibly WON drain out in the same surgery if feasible. Please suggest what is the risk.

2. Remove only GB. Please suggest what is the risk in operating GB alone as WON is abutting GB.

3. Wait for another month before operating GB and WON. Please suggest if there is any risk in waiting as GB stones are still there.

I have attached the important reports for your review. Please let me know in case anything is needed from my side.

I am currently on Pantocid DSR, capsule Lupila-D, tablet Diapepsin P tablet Ulyses 300 mg and tablet Signoflam.



Welcome to icliniq.com.

I have seen the reports (attachment removed to protect patient identity).

Do not worry. I will help you in this. First, I will tell you about gallbladder stones. So any gall bladder stones with history of pancreatitis or multiple gall stone should be removed. Laparoscopic cholecystectomy is the best recommended treatment.

Second is pancreatitis with WON. I will clear you in this regard that there is no need for any surgical treatment of acute or chronic pancreatitis with walled of necrosis. There are very few conditions where pancreatic surgery or drainage procedure is required like very large pseudocyst and more than 70 percent necrosis of pancreas. So in your case pancreatic WON drainage is not required.

One more thing to note is that if there is any attack of pancreatitis with WON gallbladder surgery should be postponed for minimum three months. This is the time to recover your body from the attack of pancreatitis.

I hope this helps.

Was this answer helpful?



This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

What is the treatment for gallbladder polyp?

Query: Hello doctor,I have been diagnosed with gallbladder polyp. There are multiple polyps of size 8.7 mm. Please suggest the treatment for it.  Read Full »

Can my gallbladder stones be dissolved without surgery?

Query: Hi doctor, Few soft echogenic calculi with sludge are seen in my gallbladder lumen, one of which measures approximately 14.1 mm. What should I do to dissolve them without surgery?  Read Full »

I have gallstone. Is it necessary to undergo cholecystectomy before planning pregnancy?

Query: Hello doctor, I am a 34-year-old female ophthalmologist. I have a single gallstone which is 10 mm in size that was noticed incidentally in ultrasound. Is it necessary to undergo cholecystectomy before planning my second pregnancy? I had nonspecific episodes of abdominal pain in the last two years w...  Read Full »

Also Read

Vitamin D and COVID-19
Did you know COVID-19 patients with vitamin D deficiency are twice as likely to have severe complications, including dea...  Read more»
The New 'Super-Spreader' Strain of Coronavirus
A new variant of SARS-CoV-2, the virus that causes COVID-19, is spreading fast in parts of the UK. Read how this new var...  Read more»
How to treat my mother's sigmoid colon ulcer?
Hi doctor, My mother, who is 45 years old, has ulcers in the sigmoid colon for the last 15 years. The problem got reduce...  Read more»

Ask your health query to a doctor online?

Ask a Surgical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.