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Brother Is Really Unwell Abscess On Gallbladder. Emergency Surgery Tomorrow
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Hi there.
My brother has been having abdominal pain for about 2 months now on and off in the middle of the night. He had a bad episode 3 weeks ago when he came up to see me and my parents for my belated birthday party. Including a cough and rigours. He is 57 exceptionally fit, a runner, slim eats a Mediterranean diet very rarely unwell. On Sunday night he was admitted to hospital with horrendous abdominal pain vomiting fever. A CT scan revealed an abscess next to his gallbladder which was full of gallstones. He has been on a drip with antibiotics and pain relief and fluids still really unwell. Original plan was to do another scan possibly on Friday and then do a cholysystectomy however he is having it tomorrow morning they dont want to wait any longer. He has a stone blocking his common bile duct and more concerning his liver is damaged. It is planned for keyhole. His wife is a GP and quite concerned. I just am flabbergasted to say the least that he has got gallbladder troubles considering his diet and lifestyle. My dad had his out at age 49 but he was a bit chubby and liked his takeaways!! That was 35 years ago. He had the full cut stomach, no keyhole then. I am wondering if it Is heredity, gallbladder problems. I have had investigations over the years for abdominal pain including nuclear scan and it was no gallstones but a slow functioning gallbladder. I have to admit I'm quite concerned for him. I promise I will update you all
My brother has been having abdominal pain for about 2 months now on and off in the middle of the night. He had a bad episode 3 weeks ago when he came up to see me and my parents for my belated birthday party. Including a cough and rigours. He is 57 exceptionally fit, a runner, slim eats a Mediterranean diet very rarely unwell. On Sunday night he was admitted to hospital with horrendous abdominal pain vomiting fever. A CT scan revealed an abscess next to his gallbladder which was full of gallstones. He has been on a drip with antibiotics and pain relief and fluids still really unwell. Original plan was to do another scan possibly on Friday and then do a cholysystectomy however he is having it tomorrow morning they dont want to wait any longer. He has a stone blocking his common bile duct and more concerning his liver is damaged. It is planned for keyhole. His wife is a GP and quite concerned. I just am flabbergasted to say the least that he has got gallbladder troubles considering his diet and lifestyle. My dad had his out at age 49 but he was a bit chubby and liked his takeaways!! That was 35 years ago. He had the full cut stomach, no keyhole then. I am wondering if it Is heredity, gallbladder problems. I have had investigations over the years for abdominal pain including nuclear scan and it was no gallstones but a slow functioning gallbladder. I have to admit I'm quite concerned for him. I promise I will update you all
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For more on marking an answer as the "Best Answer", please visit our FAQ.it seems they can be hereditary
https:/ /onewel beck.co m/diges tive-he alth/ne ws/are- gallsto nes-her editary /
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The NHS website says that a laparoscopic cholecystectomy is usually done as day surgery, with a recovery period of about two weeks:
https:/ /www.nh s.uk/co ndition s/gallb ladder- removal /what-h appens/ #keyhol e
That, of course, is for elective surgery, rather than emergency surgery. Your brother might need longer in hospital, and longer to recover, because of his medical 'starting point' but it seems to me that he might be getting back to running remarkably quickly.
So, while you're naturally concerned about his health, there doesn't appear to be any great need for panic.
I hope that everything goes smoothly for him.
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That, of course, is for elective surgery, rather than emergency surgery. Your brother might need longer in hospital, and longer to recover, because of his medical 'starting point' but it seems to me that he might be getting back to running remarkably quickly.
So, while you're naturally concerned about his health, there doesn't appear to be any great need for panic.
I hope that everything goes smoothly for him.
all the best
I am glad it has gone so well so far
you have described charcots ascending biliary triad
https:/ /en.wik ipedia. org/wik i/Charc ot%27s_ cholang itis_tr iad#:~: text=Ch arcot's %20chol angitis %20tria d%20is% 20the,b ile%20d uct%20i n%20the %20live r).
I am glad it has gone so well so far
you have described charcots ascending biliary triad
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Further update post operative my brother is slowly recovering. He Is still jaundiced but managing to eat a little. He has also been talking a bit of rubbish. Maybe premed or he was given an injection for pain relief in the middle of the night. He told his wife the porters that took him to the anaesthetic room left him outside the room for 1 hour?? He also said a nurse announced to the ward that all the patients had to look after themselves for a while because all the staff were off to the pub !!
I have just spoken to his wife the operation was a bit complicated but they still managed to do keyhole. The perforated gallbladder and cyst associated with it was pressing on the liver so they couldn't inject dye into the common bile duct to see where this lose stone was and remove it so he is having another scan. If blockage still there the next thing will be dynarod aka as ERCP. Endoscopic Retrograde Cholangepancraetography (ERCP). They are doing regular Liver Function tests
When my dad had his gallbladder out by big cut surgery 45 years ago everything was fine he was home in a week off work for 6 weeks. On my mothers birthday 10 weeks after surgery he took her out for a meal. He thought now he had no gallbladder he could eat what he liked. He had chicken Maryland and cheesecake with cream. In the middle of the night he woke up in extreme pain and was jaundice he was taken to gastro ward straight away. He was delirious, normally a very staid boring old fashioned gentleman was exceptionally rude to all the nurses. He had a small piece of grit blocking his common bile duct, they did the ERCP and he was home within 5 days. He was sedated for it probably midazolam but he grabbed one of the nurses bums and suggested he lay on the bed with her !! She politely declined but he was mortified when he woke up !!
I think my sister in law feels terrible he has been feeling rough for weeks. She is a GP and she told him she didn't want to know about this and to take buscopan I'm sure she is a fantastic GP but her bedside manner to her own family leaves a lot to be desired. When she was up visiting mum and dad. Mum had a bad chest infection was given antibiotics and steroids, mum said they have to be taken at bedtime to which she replied "It is bed time, take your pills and go to bed your ill!!"
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