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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gross Irregular Thickening Of The GB Wall Mainly At The Fundus

Hello Doctor,


My father is of 59 yrs old. He is residing in chennai. He used to vomit once in every 15 days with the right side chest pain. This problem is there for the past 1 month. He gets tired out easily after vomiting. We consulted a leading Gastro Entrologists in Chennai and initially he asked him to take medicine for 10 days and then asked to take CT scan. Scan Report has the impression that " CT upper abdomen (plain and contrast). Gall bladder is adequately distended. There is a gross irregular thickening of the GB wall mainly at the fundus. Significant pericholecystic fat stranded noted. Wall thickening noted in the duodenal cap.
The CDP is prominent with wall thickening noted. Impression:  CT features are suggestive of grossly thickened irregular GB wall (screening ultra sound showed an echogenic lesion attached to the fundus of the gall bladder).

Please advise us how to proceed further.

Wed, 23 Nov 2011
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  Anonymous's Response
's  Response

Hi, your father must be having intermittent blockage of the Biliary tree. This Biliary tree is the pathway in which the bile flows out of the liver & Gall bladder into the intestines(duodenum). During such episodes he might get jaundice, pain abdomen & vomiting as symptoms.

The features that you described- "echogenic lesion attached to the fundus of the gall bladder, gross irregular thickening of the GB wall mainly at the fundus, Wall thickening noted in the duodenal cap", all can give rise to the block.

The "echogenic lesion attached to the fundus of the gall bladder", may need further investigation, a biopsy probably, depending on the size & persistance.

A Hepato-biliary surgeon or a Hepatologist is the right person to handle this case.
General Surgeon,  Dr. Swapnendu Sekhar Ghosh's  Response
welcome to healthcaremagic
please get your father checked up surgeon and further evaluation to reach a diagnosis of the cause of thickening of gall bladder and surrounding area.
laparoscopy may be done to reach a diagnosis
better to be admitted in hospital and get treatment
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Gross Irregular Thickening Of The GB Wall Mainly At The Fundus

Hi, your father must be having intermittent blockage of the Biliary tree. This Biliary tree is the pathway in which the bile flows out of the liver Gall bladder into the intestines(duodenum). During such episodes he might get jaundice, pain abdomen vomiting as symptoms. The features that you described- "echogenic lesion attached to the fundus of the gall bladder, gross irregular thickening of the GB wall mainly at the fundus, Wall thickening noted in the duodenal cap", all can give rise to the block. The "echogenic lesion attached to the fundus of the gall bladder", may need further investigation, a biopsy probably, depending on the size persistance. A Hepato-biliary surgeon or a Hepatologist is the right person to handle this case.