News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter   
 

 Headlines:

 
 

Doctors Lounge - Gastroenterology Answers

"The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician."

Back to Gastroenterology Answers List

Forum Name: Gastroenterology Topics

Question: Inconclusive testing for right, upper abdominal pain


 sue-ann - Thu Feb 23, 2006 9:28 am

I am a 40-year old female. I have been having severe pain on my right side just under my rib cage for the past month. I had gallbladder surgery 3 years ago. I have a history of kidney stones, and just prior to this pain starting, I passed one on the same side. I have had numerous blood tests, ultrasounds and CT scans but with negative results. The doctor thought that perhaps a gallstone is stuck in my bile duct, but the surgeon claims he is doubtful as these tests are negative.
When I had my gb surgery, I had similar symptoms, and all their tests were also negative, only to find during surgery that I did in fact have a stone stuck in the duct.
I was pushy with this surgeon and told him this. He has ordered an MRI next, stating that this has to show something, if it's there. He refuses to perform an ERCP if that test is negative.
Is an MRI sure to show a stone?
Should I be considering another gastro problem?
I am not impressed by this surgeon and am going to return to the one that performed my gb surgery.
P.S. I am a Canadian and am dealing with Ontario health care. (this means extremely long waiting periods for tests)
 Dr. Tamer Fouad - Fri Feb 24, 2006 1:56 pm

User avatar Hello,

ERCP provides both diagnostic and therapeutic options, and has a sensitivity and specificity of 95 percent for the detection of common bile duct stones.

CT and Magnetic resonance imaging (MRI) data combined with the latest computer technology can be used to generate a three-dimensional image of the bile duct. Both these methods are now comparable to the ERCP in terms of diagnostic accuracy.[1,2]

If you do not feel comfortable with your doctor then I recommend you seek a second opinion, especially if you continue to be in pain.

Best regards.

References:
==========
1. Neri E, Caramella D, Boraschi P, Braccini G, Lehmann ED, Perri G, et al. Magnetic resonance virtual endoscopy of the common bile duct stones. Surg Endosc 1999;13:632-3.
2. Coakley FV, Schwartz LH. Magnetic resonance cholangiopancreatography. J Magn Reson Imaging 1999;9:157-62.

|

Check a doctor's response to similar questions

 

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us

 
Copyright © 2001-2010
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME Articles

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

We subscribe to the HONcode principles of the HON Foundation. Click to verify.We subscribe to the HONcode principles.
Verify here