Brief Answer:
Possibly hepatitis with co-inciental stone detecte
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear XXXX
First and foremost let me reassure you, its definitely not Cirrhosis of Liver.
I hope and assume that you have no habit of alcohol intake.
Gall stones may sometimes slip into the common
bile duct obstruction the outflow of bile in intestine. This causes elevation in Liver enzymes especially ALT and AST. There may or may not be elevation of Bilirubin. During this process there may be congestion of Liver causing fatty changes , also mild Hepatitis may show
fatty Liver.
I would like certain more clarification to come to conclusion for cause of elevated Liver enzyme.
1.
Ultrasound : If the Ultrasound also revealed Common bile duct (CBD) was dilated , its likely that stone from
gall bladder could have obstructed the CBD, causing fatty liver and elevated enzymes
2. If the CBD was of normal caliber during USG, its likely that Hepatitis is the cause of elevated Enzyme. During stage of
Acute Hepatitis, Ultrasound picture may mimic that of fatty liver
As there has been significant reduction in Enzyme level which is indeed a good sign.
Its definitely not Cirrhosis, let me explain you why
1. Its very much unlikely to see a young lady of 26 years with Cirrhosis
2. There will be progressive rise in enzyme level and there will not be decline
3. Cirrhosis is end stage of
Liver damage and in that case there will be derangement in liver Biochemistry profile including low Protein, Coagulation abnormality. It will defintely be picked up by scan.
Kindly let me know the exact Ultrasound findings and other laboratory investigation. I would also to know the history with which you got admitted and sequence of events during stay in hospital.
From the short description given till now, it appears to be Mild Hepatitis with co-incidental gall stones detected or Gall stones with CBD blocked due to stone.
Will be happy to guide you further.
Rest be assured its not Cirrhosis.
Take Care
Best Regards
Dr Deepak Kishore
MBBS,MS,MCH
Consultant Surgeon