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Suggest Treatment For Stone In Gall Bladder

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Posted on Thu, 29 Oct 2015
Question: my son's result of a test for gall bladder saw a stone but also a in segment 6 in a peripheral sub capsular location adjacent to a hepatic vein there is a rounded, mainly echogenic mass with a relatively hypo echoic centre measuring 14 mm maximum diameter likely to represent a incidental haemangioma ….reading from the report
oh i don't want this on the public forum
where is the answer ????
doctor
Answered by Dr. Dr. Klerida Shehu (37 minutes later)
Brief Answer:
MRI and than laparoscopic removal of gallbladder...

Detailed Answer:
Hi and thank you for asking on HCM!

You are reporting that your son has gallbladder stone and an incidental finding compatible with liver hemangioma.

If he was my patient I would recommend to do Abdominal MRI /ct scan to better evaluate biliary tract and hemangioma before consulting with surgeon..

After that you should consult abdominal surgeon for laparoscopic removal of gallbladder.

Small liver hemangioma ( less than 5 cm) as in your case doesn't need treatment.


Wish him fats recovery!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Klerida Shehu (11 hours later)
can you tell me why CT scan if they already suggest a hemangioma? and how does a person develop one? should we be worried?
what does a relatively hypo echoic centre mean? and also says mainly rounded ?
doctor
Answered by Dr. Dr. Klerida Shehu (19 hours later)
Brief Answer:
Please find below explanations

Detailed Answer:
Hi back,

The fact that the mass is mainly rounded is suggestive for bening liver mass like hemangioma

Usually small hemangiomas are hyperechoic on ultrasound but hypoechoic centre dosent exlude hemangioma.

I reccomend to do MRI or ct scan dor two reasons:
1.To better evaluate biliary tract before doing laparoscopy removal of gallbadder.

2.Usually liver hemangimas less than 2 cm on ultrasound should be confirmed with MRI or CT scan

Hemangioma is a bening tumor of the liver and there is nothing to be worried.

Wish you fast recovery !
Dr.Klerida
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest Treatment For Stone In Gall Bladder

Brief Answer: MRI and than laparoscopic removal of gallbladder... Detailed Answer: Hi and thank you for asking on HCM! You are reporting that your son has gallbladder stone and an incidental finding compatible with liver hemangioma. If he was my patient I would recommend to do Abdominal MRI /ct scan to better evaluate biliary tract and hemangioma before consulting with surgeon.. After that you should consult abdominal surgeon for laparoscopic removal of gallbladder. Small liver hemangioma ( less than 5 cm) as in your case doesn't need treatment. Wish him fats recovery! Dr.Klerida