Gallbladder Removal: Common Bile Duct Injuries
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- čas přidán 6. 08. 2011
- Dr. discusses injuries to the common bile duct occurring after Cholecystectomy and how surgeons repair these injuries. Learn more about common bile duct injuries and their treatment at the Liver & Pancreas Center in Baltimore, MD by visiting: liverandpancreassurgeon.com
I’m dealing with persistent problems since my laparoscopic Gallbladder removed. Right after I got to the main floor for management, the surgeon brought in photos of my surgery and told me that my gallbladder was really inflamed. The amount of cauterization kind of gave me pause because it looked like they literally burned the entire area and what looked to be the underside of my liver. I was feeling pretty good and was up in the chair to try some food for the first time when all of a sudden I started to feel like I was blacking out and called in the nurses. My BP was 60/40 and I was fading quickly so I told them to just hurry up and get me back in the bed and while supine, the BP went up but was still low 90/60 but as long as I was laying down I wasn’t feeling faint. As soon as I got up to use the bathroom, again I had to hurry and get back in the bed. This went on all afternoon and they gave me 2 liters of IV fluids as fast as they could get it in however, I still couldn’t be upright without fainting so they kept me for overnight observation. Long story short, I had a night from hell with my abdomen being so bloated all the way down in to my pelvis and despite all the fluids, I only urinated 2 times all day. Labs were done at 4 am and the surgeon came in at 7 and said my Hemoglobin was 7.8 so I would get 2 units of blood and another CT. I was in so much pain that entire night and wasn’t given anything except for what I already take at home for chronic pain and some Toradol. I was having a hard time breathing because I couldn’t expand my lungs with all the trapped gas and huge belly and by the time they took me back to surgery, I was really scared to lie down with my shallow breathing but then I was out and woke up feeling so much better. I had 2 huge pools of bleeding with one being of mixed fluids and blood and then a large hematoma in the gallbladder bed area. The blood was running down in to my pelvis. Now I know why they say internal bleeding is very painful because it was terrible. My stomach would go in to an involuntary spasm of rigidity but as soon as it was aspirated and a JP drain inserted to continue to drain for the next 10 days, that pain was essentially gone. I ended up getting 2 more units of blood after surgery again and was in the hospital for 4 days. They never could find where all the bleeding was coming from and I’m lucky that it stopped on it’s own or I could’ve died. I feel like they didn’t catch on to my bleeding with the numerous symptoms that I had but I didn’t want to complain because I already have chronic pain that I feel stigmatized for so I didn’t ask for anything more but will advocate for myself much more forcefully if anything like this happens again. Now my problem is that I’m essentially having all the same symptoms that I before my gallbladder was removed with midline abdominal pain and epigastric pain and bloating. I also have a funny percolating feeling to the right of my Right umbilical area, spells of constant reflux with a strange noise coming up out of my throat every 20-60 seconds, episodes of vomiting large amounts of bile, and had liver enzymes that were elevated 3 times their normal levels. My Common Bile Duct has went from 7, 9, 11, 13, and now 14mm after my surgery that was 15 months ago. I also had spells last summer where I kept asking my husband if my skin looked yellow because it did to me although I didn’t notice it in my sclera. I have immediate gas within 2 minutes after eating and just don’t have any energy. I’m getting very depressed and worried that there’s something wrong to my CBD and had to really beg for my primary doctor to get me a consult with a GI specialist and he wasn’t really going along with it until I showed him those pictures of my surgery and then he seemed to change his tune. I’ve had numerous CT scans over the last 4 years because I also had a ruptured appendix in 2017 and was in the hospital for 5 days which also was hell but I noted that one of the reports noted some tapering at the Ampulla of Vater so this concerns me that maybe there is a stricture or when they cauterized so much that they possibly burned the CBD causing narrowing or blockage. I have had periods of time where it’s good for a week or so and then it comes back again and doesn’t seem to matter what I eat because I have really cut down on saturated fats and have been eating pretty healthy when I have an appetite. I finally got a consult set up and hope that this is something they can figure out without some complications. There was also hepatic Dilation notes and enlargement of the Pancreatic head for whatever that means. To me it sounds like the hepatic ducts seem to be under pressure? The only other thing that I’ve read about is Symptom of Oddi Dysfunction which I pray I don’t have because it sounds like it’s not easy to correct and has some dangers as does the ERCP so I don’t know. If anyone has anything they can relate to, please let me know. I just want to feel good again and have been so down and made to feel like I’m a hypochondriac. When you don’t have money to pay off all these copays and specialist fees and still get no answers, it just makes me so depressed.
Thank you! I love this. You explained everything in an easy, understandable way!
Glad it was helpful!
From one St Agnes Grad to another, good video!
Thanks for sharing this video
Because now I am certain that this is my problem. Since I had my GB remove in Apr 2010 I've been in pain ever since I've have constant pain on and off to this current date June 2015. I have bile that is coming back up and I get nauseas or sometime I vomit. The pain is so bad I told them ad soon as I woke from my surgery that I had the pain. When I was released from the hospital a week later I had to go to the ER by ambulance because that's how severe the pain was. I'm just frustrated and tired of it. I pray that I will find a Dr to find the problem. I had every test imaginable and they still say nothing wrong. Please keep sharing your videos.
Tatetia cross Thank you for your message. I am glad this video helped you and I'm so sorry to hear about the ordeal you have been through. I hope you find relief soon!
My surgeon while trying to remove my gallbladder injured the hepatic bile duct . Got jaundice etc. Went for surgery 2. A roux and y surgery. Got a bigger incision and it was an invasive surgery. I hope I won’t have any complications after this surgery
The topic is bigger than said.....
Pleae, add "for patients" in the title. Thank you!
I went down with some pancreatic cancer and I take my Creon and it seems like it doesn't work I'm always on the toilet and the last 3 months I've had real bad swelling in my legs and feet
Hi Mark
My mother suffering with same issue, now she is under medical observation. Can you please advise me to handle it. Please share email id so I can share details of reports. Please help me.
What u named as CBD is actually CHD. While CBD is supposed to be lower down beyond the junction of CD & CHD .... please correct it
Are you a doctor? If so, how can one of you be so ill informed?
I had my gall bladder removed via laparoscopic procedure. 4 weeks post op I had a gallon and a half of bile stained fluid drained from my abdomen. after 3 exploratory procedures I ended up at johns Hopkins in emergency surgery with Dr. Charles yeo having a roux en y. turns out my common bile duct was clamped off instead of the fundus when the gb was removed. on top of that my cbd was perforated below the clamp. it's been 17 yrs since my roux en y hypatico surgery and I'm now in the care of a surgeon at wvu I have so much scar tissue at this point I have had to have a stent in my right hypatic duct within the last 4 years and have to have an mri every 6 months to ensure there is no further narrowing. in the event there is more narrowing I will have possibly 3 options..another stent if possible..another roux en y or I will go on the liver transplant list. thank u for this video its helped me understand more how serious my situation was.
Andrea Custer what we're your symptoms? I'm having lots of pain, back pain and bloating with nausea.
How is it going? I hope u get better!
This is my worst nightmare.
Hi Andrea, I'm sorry this happened to you and unfortunately, this also happened to me when I had my gallbladder removed 3 weeks ago. I had a common bile duct injury and they inserted a biliary drain in my upper right abdomen. How are you doing now? I really hope you are doing well....
I had mine removed and woke up 3 days later in extreme pain and vomiting bile. Took 1 year for my liver function to elevate into the 400-600 after enduring severe painful attacks and no answers. Had ERCP with Sphynctetotomy with stent to improve flow and it helped for about 4 years. Now, I’m back to square 1 extreme attacks 1 time a month, projectile vomiting, severe pain. Graduating college and unemployable because of this. No one can help me or fix me. People refuse to do a HIDA scan! I’m fucking sick of it!
Very well explain thank for this video. Unfortunately this happen to my godfather. Now I can have knowledge of what to ask the doctors.
I just had this happen to me. Ended up with a splint and an external drain tube to drain bile out of my abdomen. This was a very painful and hard recovery from my gallbladder removal. Wish I had known this was all possible. Apparently my bile ducts were huge in comparison to normal people causing it to be difficult to heal and drain properly.
I'm sorry this happened to you and unfortunately, this also happened to me when I had my gallbladder removed 3 weeks ago. I had a common bile duct injury and they inserted a biliary drain in my upper right abdomen. How are you doing now? I really hope you are doing well....
@@AliciasKitchenLiving I'm doing great now it happened to me about 6 months ago. The splint that I had caused me terrible pain in my shoulder and in my ribs but luckily once I got it out I was much better. I had a revision to the common bile duct and was able to get everything under control. Are you starting to feel better yet?