Lower bile duct mass with low biliary obstruction, ERCP is recommended

It is important not only to ask questions based on the results of an MRI, but also to describe the patient's symptoms and signs in detail. Diagnosis is made by considering a combination of factors. Since you've had an MRI, you always have an outpatient medical record from the hospital, right? Tell me how much better the professional is than you.

However, judging from the above report, it should be a patient with obstructive jaundice, and there should be a manifestation of jaundice. The common bile duct is not small, and it is normal to not exceed it. As for what caused it, it was nothing more than a stone or a tumor blockage.

The report says: "Soft tissue signals are seen at the lower end of the common bile duct. The head of the pancreas is not large, and there is no obvious retroperitoneal space-occupying lesion.

Pancreatic duct visualization with no dilation. Scanning the liver and kidneys showed multiple round-like long T2 signals. "Pancreatic head cancer can basically be ruled out, and the rest is to consider the problem of periampullary cancer.

There is also a history of gallstones in the past, and it cannot be ignored that the stones are blocked, so it is really difficult to give you a clear diagnosis. But looking at what the report says, I personally prefer periampullary cancer. (I'm sorry...)

Let's continue to perfect the check...

What about amylase?

Rule out pancreatitis.

In addition, there is no problem with the bile ducts.

It is best to do MRCP to understand the condition of the bile ducts.

Because the lower end of the bile duct is often not visible clearly due to the influence of the duodenum.

It should be a patient with obstructive jaundice, ** should have the manifestations of jaundice.

Analysis: Hello: I guess it's good to be happy to answer your questions:

First, a nasal bile duct was placed to the lower end of the infarction for drainage, and then a plastic stent was placed at the infarction twice to expand the bile duct of the spike infarction, but it was successful and did not solve the problem, so it is recommended that you do traditional surgery**.

Guidance: Hello: According to your description and combined with clinical experience: in your current situation, because the obstruction is in the lower common bile duct, laparoscopy is generally selected, but your obstruction is very large and not easy to remove, so traditional surgery is recommended**.

ERCP intervention** is not possible because it is a gallbladder neck stone, and ERCP intervention** is not possible, and it is generally used for lower common bile duct stones. Cholecystidectomy can be done, and cholecystotomy can be performed laparoscopically. An open (laparotomy) gallbladder incision can also be used to remove stones.

If there are no symptoms, it is okay not to do ** for a while. Because the gallbladder stone is large, 17*10mm, it is not easy to become incarcerated and will not cause obstruction. Some people have gallstones and are asymptomatic for life. Asymptomatic gallstones, can be dispensed with**.

In addition, extracorporeal shock wave lithotripsy is available**.

Guidance:

According to your summary and your description, I probably analyze this situation, from the discharge diagnosis, it should be when you were first admitted to the hospital, due to the lack of **, the initial diagnosis was localized peritonitis, and then the diagnosis was confirmed to be cystic cystic lesions on the dorsal side of the pancreas, so when you go to the outpatient follow-up clinic in the future, you should explain to the doctor that it is a cystic cystic lesion on the dorsal side of the pancreas or show the discharge summary to the follow-up doctor, so as to avoid mistreatment and re-examination.

Intrahepatic bile duct stiffness is not cirrhosis, but sclerosing cholangitis. It is a mild lesion, but it can develop into gallstones or bile duct sclerosis without control, enlarged spleen, and severe liver cirrhosis. You can pay attention to your diet, limit your fat intake, and properly use stone removal granules, etc., to relieve the blockage to facilitate the discharge of gallstones, which can be effectively improved.

In the small knots, it is indeed a symptom of common bile duct blockage. Judging from your blood routine, it is normal, indicating that the recovery is good, and you usually need to pay attention to your diet, you can only eat three points full, not more. Take medicine at an time to avoid fever, diarrhea, itching, loss of appetite, light stool and other conditions need to seek medical attention urgently.

**There will be a possibility, because your stone is a stone mud and sand, it is a kind of stone that is not easy to clean, it is not easy to attack in a small amount, in the case of accumulation, the stone will show peritonitis symptoms again when it reaches a certain number, and surgery is required**, generally three to five years, if it is kept well, it will not occur within ten years, which is also possible. It depends on the person. Important dietary routines.

If the face is yellow, you need to pay attention to the occurrence of jaundice, pay attention to (**sclera yellowing), if ** does not appear, you can continue to observe, and if you don't sleep well, you can go to the neurology department to see the symptoms, or consult a psychologist. You can take a calming brain tonic liquid. In severe cases, sedatives, such as a small amount of diazepam, may be given.

I wish you good health to your mother!