
What Casues Abdominal Pain After Insertion Of Stent Post Gall Bladder Surgery?

Now the outside portion of the lower abdomen from outside observed like bludder and some pain and she became very weak even she can not stand properly.As directed by the doctor she has been admitted at Internatinational Hospital XXXXXXX for Gastro doctor and from 13th to till date she is in Hospital.Doctor could not find the proper cause .All the latest report attached here with.Pl guide me what to do and the root cause.
Possibly infection in background of Fatty liver
Detailed Answer:
Hello Mr XXXXXXX
How are you? Thanks for writing to HCM. my name is Dr Suresh Raghavaiah. I am a liver transplant surgeon and I will attempt to answer your question today.
First of all I am sorry to about your mother's condition.
I have just read all the reports you have attached with the query. By the look of it, your mother was suffering from fatty liver (suggested by the imaging) and mild cholestasis (suggested by the bilirubin of 3-5). This unfortunately has been complicated by obstruction of the bile duct leading due to the stone. This led to the increase in the bilirubin to 18. I also feel due to the obstruction, there was also infection associated as evidenced by the increased white cell count, increased CRP and the increased ferritin levels. Although the cultures have been negative (Bile culture report not attached), I suspect your mother had received antibiotics before the culture was taken and that is the reason why the blood cultures are negative. That is why a bile culture report will be very helpful.
When there is an infection, the liver usually suffers and might not excrete the bile properly into the intestine. This is called as cholestasis (Also evidenced by raised alkaline phosphatase). This usually takes a while to resolve and the rest of your mother's liver is working fine (normal SGOT and SGPT). So as long as the stents are functioning well and there is no suspicion of obstruction of the stent, I would continue on conservative management and antibiotics. If there is suspicion of blockage of the stents then obviously the stents will need to be replaced.
Hope this helps and hope your mother feels better soon.
Please let me know if you need any clarifications
Have a great day
Dr Suresh Raghavaiah


Already Reviewed
Detailed Answer:
Hello Mr XXXXXXX
Thanks for getting back to me.
I had already reviewed the reports before writing back to you.
My advice is still the same
Please do keep me updated regarding your mother's progress.
Dr Suresh Raghavaiah

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