This video shows an Operated Gallbladder with a stone in the Bile duct, Post-cholecystectomy syndrome.
Gallstones are created in the gallbladder forming bile substances of hard, crystal-like particles. Bile duct stones move out of the gallbladder becoming lodged.
Symptoms and signs suggestive of common bile duct stones can occur in people with intact gallbladders as well as those who have had a cholecystectomy. The clinical presentation includes abdominal pain, jaundice, nausea, vomiting, fever, cholangitis, pancreatitis, and elevated levels of bilirubin or liver enzymes.
Death from obstructive jaundice in the first few weeks of its course is quite rare and is only occasionally observed. After a period varying from four to six months, however, patients suffering from occlusion of the common bile duct usually deteriorate rapidly and die.
The most common treatment is to remove the gallbladder, an organ you can live without. Blocked bile ducts can lead to liver failure, an organ you can't live without, so it is imperative to seek medical treatment immediately.
About 1 in 7 people with gallstones will develop stones in the common bile duct. This is the small tube that carries bile from the gallbladder to the intestine. Risk factors include a history of gallstones. However, choledocholithiasis can occur in people who have had their gallbladders removed.
This is known as post-cholecystectomy syndrome (PCS). It's thought to be caused by bile leaking into areas such as the stomach, or by gallstones being left in the bile ducts. In most cases, symptoms are mild and short-lived, but they can persist for many months.
Stones may pass spontaneously out of the bile duct on their own. However, when a stone gets stuck in the bile duct, medical intervention is necessary, otherwise, inflammation, bacterial infection, and even severe organ damage can occur.
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that can be used to remove gallstones from the bile duct. The gallbladder isn't removed during this procedure, so any stones in the gallbladder will remain unless they're removed using other surgical techniques.
Biliary obstruction manifesting after laparoscopic cholecystectomy most often is due to either a retained common duct stone or an unrecognized surgical misadventure, such as transaction or clipping of the common hepatic or common bile duct.
However, the laparoscopic exploration of the bile ducts requires the proper equipment as well as expertise in advanced surgical skills, such as bile duct suturing and stone extraction. The removal of biliary stones can be achieved either through the cystic duct or by choledochotomy.
Bile duct obstruction is a blockage in the tubes that carry bile from the liver to the gallbladder and small intestine.
Symptoms may include:
Abdominal pain in the upper right side.
Dark urine.
Fever.
Itching.
Jaundice (yellow skin color)
Nausea and vomiting.
Clay-colored or pale stools.