Have Biliary Pancreatitis And Invasive Lobular Carcinoma. Gallbladder Removed. Having Abdominal Pain. Any Thoughts?
Thank you for the query XXXXXX,
You seem to have had biliary pancreatitis last April needing a cholecystectomy.
Well the current pain with markedly raised lipase (it has to be three times the upper normal limit in that report) suggests an acute exacerbation. The cause of acute exacerbation needs to be identified and treated accordingly.
My suggestions is that you need to visit the ER if your appointment with gastroenterologist is late.
- you need to look for residual stones in common bile duct since you had them in gall bladder earlier. Endoscopic Ultrasound (EUS) or Magnetic Resonance Cholangiopancreatogram (MRCP) is in order.
- In their absence, we need to look for other causes like raised triglycerides or calcium levels.
- Also need to look for a persistent pseudocyst and underlying chronic pancreatitis in view of recurrent pain.
Hope this answers your query. Let me know if you need clarifications.
Wish you a speedy recovery.
Regards