Is gallbladder surgery a must in cystic duct syndrome?

Question

Hi doctor,

My daughter is suffering from abdominal pain due to gallbladder problem. She is suffering from stomach pain for the past one year. It has aggravated recently. She gets pain when she eats green leafy vegetables or fatty foods. She had an antibiotic for a month. Doctors have told that water has formed around her gallbladder along with infection. CT scan, HIDA scan, color Doppler and endoscopy tests all are normal. Is there any dysfunction of gallbladder seen in HIDA test? Or cystic duct syndrome? Is gallbladder surgery compulsory? Please help me.

Answer 1

Hi,

Welcome to icliniq.com.

The report says that she has a component of decreased gallbladder motility associated with polycystic changes in ovaries (PCOD). Now, we need to get LFT (liver function tests) done.

Did she had pain as well as fever or jaundice? At present, is she symptomatic? Or asymptomatic? Kindly provide details of her weight. Obesity is associated with cystic changes in ovaries. Surgery is not compulsory in this case.

Answer 2

Hi,

Welcome back to icliniq.com.

Without jaundice and mild symptoms, it is difficult to say it as cholecystitis. The pattern of pain is consistent with some kind of obstruction for example stone in the biliary tree or SOD (sphincter of Oddi dysfunction).

For the presence of stone in the biliary tree, we do an ultrasound but cystic duct stones may get missed by this modality, so we do CT scan. For SOD, we do manometry. Sometimes, fatty changes in the liver may cause pain in this area. My advice is please get a CT scan done and also a lipid profile.