Intense abdominal pain and nausea are the most common indications of symptomatic Yaz side effects caused by gallstones. Both occur due to inflammation or infection (or both) somewhere in the biliary tract. Most commonly, the gallbladder is affected since it is the site where most stones form. Please contact us for the latest Yaz gallbladder settlement and litigation news.
When the gall bladder’s inner wall becomes inflamed, the organ becomes susceptible to infection. This can lead to one or more serious complications. Even if infection remains localized, it may eventually cause perforations, fistulas, and gangrene. This is the reason doctors seek to treat and resolve symptomatic gallstones as soon as they are detected.
The most common form of treatment is to have your gallbladder surgically removed. The procedure is called cholecystectomy. While the organ is considered nonessential (i.e. you can live without it), there are risks involved with its removal, including dangerous bile duct injuries. A secondary condition that often arises following surgery is postcholecystectomy syndrome (PCS). We’ll describe its presentation, diagnosis, and treatment below.
PCS Symptoms Versus Complications From Gallbladder Removal Surgery
Postcholecystectomy syndrome is characterized by symptoms reminiscent of gallbladder disease. These symptoms include abdominal pain and nausea, and in some cases, jaundice. While its presentation is simple enough to detect, identifying the underlying causes of PCS are more challenging. In some cases, pain may be triggered by the variance in bile flow through the biliary tract in the absence of the gallbladder. In other cases, it may be due to a functional abnormality of the sphincter of Oddi.
It is important that your doctor is able to isolate symptoms that relate to postcholecystectomy syndrome from those associated with complications that arise from surgery. As mentioned earlier, cholecystectomy occasionally results in bile duct injuries. Such injuries allow bile fluid to leak into the abdominal cavity, which can lead to infection. If it is left untreated, the infection can spread to other areas of your body. Hence, diagnosing PCS, and ruling out competing diagnoses, is critical.
Diagnostic Studies For Identifying Postcholecystectomy Syndrome
It is worth noting that PCS is typically a preliminary diagnosis that leads to the diagnoses of other circumstances. Also noteworthy is that there exists very little consensus among doctors regarding factors that suggest a higher risk of developing PCS. Symptoms are nonspecific, and thus tracing their root causes is difficult.
Following review of your medical history, your doctor will order one or more imaging tests. A helical CT scan is usually ordered before other studies, and is often followed by endoscopic retrograde cholangiopancreatography (ERCP). This latter test is used to determine whether gallstones are present within the common bile duct.
If, for some reason, ERCP cannot be performed, your doctor may order magnetic resonance cholangiopancreatography (MRCP). This study, too, can be used to detect bile duct stones, but is also helpful for identifying other biliary abnormalities (e.g. dysfunction of the sphincter of Oddi, cancer, etc.).
Treating The Underlying Problem
The tests described above often reveal other diagnoses that have little to do with the removal of the gallbladder. Treatment follows the specific diagnosis. For example, if irritable bowel disease is detected, you may be given a sedative or calcium channel blocker depending on the circumstances. Gastroesophageal reflux disease (GERD) may be addressed with antacids. If a functional problem with the sphincter of Oddi is identified, your doctor may perform a sphincterotomy to widen the opening.
The long-term prognosis of postcholecystectomy syndrome is dependent upon the condition that led to its initial presentation. Here, it is particularly important to identify bile duct injuries resulting from cholecystectomy since they can lead to infection. If tears in the bile duct are found, they must be resolved through further surgery.
Yaz and gallstones have caused biliary tract problems for many women. Even when stones are addressed with gallbladder removal surgery, dangerous complications can occur. If you have suffered from gallstones, gallbladder disease, or any other Yasmin, Ocella or Yaz side effects, you may be able to file a claim for compensation for your injuries. Contact an experienced Yaz gallbladder settlement lawyer to discuss your case.
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