sir,my fatherage is 53yr,ht-5ft9inch,wt-61.last nt,he feels a pain in his right side of stomach.ultrasound shows a calculus measuring 12mm in the lumen.gall blader is distended.diffuse wall thickening noted.an echogenic soft tissue mass measuring 2.4*1.2cm is seen in the fundus of the gall blader.this is immobile on changing patient position.so please tell what should we do?
Hi.noted history of gallstones associated with abdominal pain. Your father seems to have frequent attacks of biliary colic secondary to stones. It is best if he consults with a doctor, preferably a general surgeon, for complete physical examination and clinical evaluation. Diagnostics (such as ultrasound, blood exams, etc.) will be recommended as needed. Management (medical and surgical) will be directed accordingly. Definitive treatment for gallstones is cholecystectomy or surgical removal of your gallbladder along with the stones. It could be done laparoscopically (gold standard) or through open technique. In your fathers case, it is better to have it done as an elective or scheduled cholecystectomy (not as an emergent case but with urgency in terms of management) with preoperative cardiopulmonary clearance, for lesser complications and better post-operative course. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor.