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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Obstructive Jaundice, Diagnosed Mirrizi Syndrome, Cystic Duct Dump Stones, Underwent Treatment, Got Jaundice Again. Why?

I was suffering from obstructive jaundice and on diagnosis declayered as Mirrizi s syndrome and cystic duct dump stones.. Later i had undergone Cholecystectomy , Choledocholithostomy, Hepaticojejunostomy.. Now after 2 yrs of this i have again faced an episode of jaundice. LFT shows Total bilirubin:-2.6, SGOT:-32.6, SGPT:-35.2 .. Usg shows pneumobilia in hepatic channels and cbd unvisualized due to pneumobilia... My age is 23yrs, height is 5ft 8inchs..
posted on Sun, 28 Apr 2013
Twitter Sun, 28 Apr 2013 Answered on
Twitter Mon, 29 Apr 2013 Last reviewed on
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Gastroenterologist, Surgical,  's  Response
Mirrizi syndrome is the condition where gallbladder stones cause a communication between the gallbladder and bile ducts, often due to inflammation. This condition in your case has been treated by the operation you describe. Jaundice episodes after such a procedure are not uncommon. They may be caused by a stricture or build up of sludge in the duct. Contact your doctor it should be easy to diagnose whether there is a problem in the bile flow by MRCP ( magnetic resonance examination of the bile ducts and the pancreas).
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Suffering From Obstructive Jaundice, Diagnosed Mirrizi Syndrome, Cystic Duct Dump Stones, Underwent Treatment, Got Jaundice Again. Why?

Mirrizi syndrome is the condition where gallbladder stones cause a communication between the gallbladder and bile ducts, often due to inflammation. This condition in your case has been treated by the operation you describe. Jaundice episodes after such a procedure are not uncommon. They may be caused by a stricture or build up of sludge in the duct. Contact your doctor it should be easy to diagnose whether there is a problem in the bile flow by MRCP ( magnetic resonance examination of the bile ducts and the pancreas).