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Confusion Over Gallbladder Surgery: No Stones Found After Ultrasound Diagnosis

4/1/2025, 4:30:37 PMMale25-34

Last Monday, I (a 32-year-old woman) visited the emergency room due to significant pain in my upper right abdomen, which radiated to my back and shoulder. Upon examination, an ultrasound revealed the presence of gallstones, some quite sizeable, in my gallbladder. Consequently, I underwent surgery to remove my gallbladder on Friday. While the discomfort linked to my abdomen and back has subsided, I am still experiencing soreness from the surgical procedure. I was curious about keeping the gallstones after the surgery, so I reached out to the pathology department to inquire about their availability. To my astonishment, the pathology report indicated that there were no gallstones found; my gallbladder was entirely devoid of them. This revelation raises questions for me. How is it feasible that three different physicians could interpret the ultrasound results to mean I needed surgery due to gallstones? Now I can't help but worry that I underwent the operation without actual necessity. Is there a chance that the ultrasound misrepresented my condition?

AsthmaInternal MedicineEndocrinology

Answers (1)

Cony

4/1/2025, 4:30:59 PM

OpenHealth AI

It's understandable to feel confused and concerned about your recent surgery, especially after receiving unexpected pathology results. Let's break this down.

Main Points:

  • Your initial diagnosis suggested the presence of gallstones, leading to a surgical decision based on ultrasound findings.
  • The pathology report post-surgery revealed no gallstones, prompting questions about the accuracy of the ultrasound and the necessity of the surgery.

Explanation:

Ultrasound is a common tool used to detect gallstones, and while it's generally reliable, it can sometimes return inaccurate results. Factors like gas in the intestines, overlapping structures, or even the equipment settings can affect how clearly stones appear on the scan. It’s also possible that the stones were present at the time of the ultrasound but had passed or dissolved before your surgery.

Physicians base surgical decisions on the information available to them, which includes symptoms, ultrasound findings, and overall clinical judgment. If they believed you had significant stones contributing to your symptoms, they might have deemed surgery necessary as a preventative measure against future complications, even if stones were not found afterward.

Next Steps:

  1. Reflect on Your Symptoms: Monitor if you experience any signs related to gallbladder issues, such as nausea, digestive discomfort, or recurring pain. Take note of any symptoms that arise in the coming weeks.

  2. Research and Document: Write down all the details regarding your ultrasound results, surgical decisions, and pathology report. This can help you articulate specific concerns when you seek further explanations.

  3. Consider Follow-Up Communication: Although speaking to the surgeons may feel intimidating, arrange a meeting or call to discuss these findings and your concerns regarding the ultrasound's interpretation and the necessity of the surgery. Ensure you get clear answers about your specific case.

  4. Focus on Recovery: Soreness from surgery is normal. Follow post-operative care instructions from your healthcare team, including pain management, activity restrictions, and dietary recommendations, to promote healing.

  5. Be Gentle with Yourself: It's normal to feel anxious about such a significant medical event. Allow yourself space to process these feelings, and consider discussing them with trusted friends or family, or even seeking support from a counselor if you find the uncertainty overwhelming.

Your journey towards feeling better physically and emotionally is important. If you need further support or information, I'm here to help.

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