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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stones In Gallbladder, Dilation In Bile Duct, Motion Gets Stuck Since Birth. How To Treat?

my son was diagnosied with a gallbladder full of stones on an ultrasound 5 years ago. they repeated the ulta sound one month later and found no gallbladder. at the time he had a slight dialation of the bile duct . he has had trouble with stuck poop since he was born. they have had him on mirlax and mineral oil. the gallbladder was an accidental find. recently he went through a mrcp and cat scan and they still can not see gallbladder and his bile duct is 7mm dialated. what now?
Wed, 12 Dec 2012
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General Surgeon 's  Response
Dear madam, there is a disorder called gallbladder displasia, but it is very rare. I ve never heard that someone had gallbladder and then it just disappeared. Only by surgical procedure it can be removed. Contrast radiology tests you ve mentioned are used to visualize contrast passage and if his gallbladder and cystic duct are full of stones then it wont be seen. But...Ct abdominal scan should definitely see gallbladder except it is extremely small. It is not necessary to find out is gallbladder really there if your son doesnt have any symptoms related to it. In future, laparoscopy can be always done and it can solve your mystery for sure:)

Wish you good helath, Dr. Ivan Romich
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Gastroenterologist, Surgical Dr. Anish Nagpal's  Response
may be your son has choledochal cyst which requires excision
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Stones In Gallbladder, Dilation In Bile Duct, Motion Gets Stuck Since Birth. How To Treat?

Dear madam, there is a disorder called gallbladder displasia, but it is very rare. I ve never heard that someone had gallbladder and then it just disappeared. Only by surgical procedure it can be removed. Contrast radiology tests you ve mentioned are used to visualize contrast passage and if his gallbladder and cystic duct are full of stones then it wont be seen. But...Ct abdominal scan should definitely see gallbladder except it is extremely small. It is not necessary to find out is gallbladder really there if your son doesnt have any symptoms related to it. In future, laparoscopy can be always done and it can solve your mystery for sure:) Wish you good helath, Dr. Ivan Romich