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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Continuous Pain, Nausea, Vomiting Bile After Gall Bladder Surgery. Could It Be Bile Duct Leak?

Hi there i am a 31photographer year old female how had a my gual bladder removed two years ago. Ive had continuing pain nausea throwing up bile off and on since the surgery however in the last week ive been throwing up bile up to 15-20 times a day. Its gotten significantly darker and the pain has increased do i need to be worried abiut a bile duct leak?
Wed, 1 Aug 2012
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General & Family Physician,  's  Response
Hello
You seem to be suffering from Postcholecystectomy syndrome (PCS) which means the presence of abdominal symptoms after surgical removal of the gallbladder (Cholecystectomy).
Symptoms of postcholecystectomy syndrome may include:
Upset stomach, nausea, and vomiting,gas,bloating,persistent pain in right upper abdomen and happens in 10 to 20 % of patients after gall bladder removal.

While 50% of cases may be due to biliary causes such as remaining stone, biliary injury, dysmotility and choledococyst,the remaining 50% are due to non-biliary causes.
You should consult your surgeon and try to get endoscopy done to rule out acute gastritis and look for any biliary causes by getting an MRCP or ERCP done.
Thanks
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Continuous Pain, Nausea, Vomiting Bile After Gall Bladder Surgery. Could It Be Bile Duct Leak?

Hello You seem to be suffering from Postcholecystectomy syndrome (PCS) which means the presence of abdominal symptoms after surgical removal of the gallbladder (Cholecystectomy). Symptoms of postcholecystectomy syndrome may include: Upset stomach, nausea, and vomiting,gas,bloating,persistent pain in right upper abdomen and happens in 10 to 20 % of patients after gall bladder removal. While 50% of cases may be due to biliary causes such as remaining stone, biliary injury, dysmotility and choledococyst,the remaining 50% are due to non-biliary causes. You should consult your surgeon and try to get endoscopy done to rule out acute gastritis and look for any biliary causes by getting an MRCP or ERCP done. Thanks