GALL BLADDER STONES SLIPPING IN THE CYSTIC DUCT.

Dr. Ashish Vashistha – Best Gallbladder Surgeon in Delhi

Dr. Ashish Vashistha is the Best Gallbladder Surgeon in Delhi, a Senior Robotic laparoscopic surgeon who is HOD Department of Surgery and Robotics Max Super Specialty Hospital Saket Delhi explains about GALL BLADDER STONES WITH STONES SLIPPING IN CYSTIC DUCT.

GALL BLADDER STONES WITH STONES SLIPPING IN THE CYSTIC DUCT.

I am 29 years old girl with a BMI of 30. 
I am a banker with an average working more than 12 hours per day. 
Yesterday night we had an evening dinner meeting at the office and suddenly after dinner, I started having pain in the epigastric region and bloating in my stomach. I thought it was some gastric problem and looked for antacids to relieve pain.
The next day morning, I got up with another bout of pain, vomiting, and loose motions. Now  I decided to visit the hospital and I went to the emergency department at Max Hospital Saket, New Delhi. They evaluated my vitals and gave me some injections to relieve pain and vomiting.
To my relief, the doctor on duty informed Dr. Ashish Vashistha and the team for further evaluation to rule out gall bladder stones or appendicitis.
Ultrasound abdomen was done and they found out my Gall bladder full of stones and some stones/sludge in the cystic duct as well.
 
The Best Gallbladder surgeon in Delhi, Dr. Ashish Vashistha explained to me in detail –
Gallbladder stones are crystal-like substances made up of cholesterol or sometimes of bile and calcium. Gall bladder stones can vary in size from a tiny size of 2mm to as large as the size of a golf ball. Stones can be single or multiple.
 
The Best Gallbladder surgeon in Delhi, Dr. Ashish Vashistha explains that:-

Why do cholesterol stones form? 
When bile contains too much cholesterol and not enough bile salts, cholesterol stones develop. 
Sometimes bladder stones slip out of the gall bladder to a cystic duct or bile duct. 
They may pass into the stomach and if their size is large can be struct in the cystic duct/bile duct. 
The cystic duct /bile duct stones can cause agonizing pain and can be dangerous.
 
The Best Gallbladder surgeon in Delhi, Dr. Ashish Vashistha explains other Factors:-
 Other factors for developing stones are- 
  • Obesity
  • When we lose weight rapidly
  • Prolonged fasting
  • On OCPs
  • Pregnancy
 
Gallstones can be silent stones with no symptoms and diagnosed only on routine ultrasound /MRI /Generally gall stones come following symptoms:-
 
  • Acute pain happening suddenly after heavy Meals
  • Pain between shoulder blades
  • Chills and fever
  • Nausea, vomiting
  • Pain radiating from the epigastric region to the back
 
When stones slip in the cystic duct and cause pain, then we have cholangitis and this is a very painful condition. If a stone slips in CBD  then the situation is more difficult. This can and can cause pancreatitis which can be fatal.
 
The Best Gallbladder surgeon in Delhi, Dr. Ashish Vashistha advised MRI for me and found that my cystic duct was full of stones.
 ERCP was done to place a stent and remove stones from the bile duct.
 
Dr. Vashistha did a laparoscopic cholecystectomy. Fortunately, all stones were milked out of the cystic duct and I am doing well now.
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