Topic

Porta hepatis lymphocele

I don't have a diagnosis yet so not sure which section to post in. I had my gallbladder removed in 2008. In 2010 I had an MRI mrcp for abdominal pain and lfts crazy high. There was fluid at the gallbladder fossa. I was told not to worry it was normal. Lfts went down. However through the years I've continued with some pain and my lfts are all over the place but seem to get higher each episode and never return to normal. My new primary care said this wasn't normal which leads me to now. My current MRI mrcp lists "small fluid signal intensity structure is noted along the anterior caudate love of the liver with no definite evidence of direct connection to the biliary tree". " small cystic appearing structure within the porta hepatis most suggestive of lymphocele versus seroma or focal ductal ectasia". ERCP was suggested. I've had an EGD already. I have an appointment with hepto in August. GI is talking of doing the ERCP now. Any advice? Go for it or wait for hepto? I've no idea what this is or what could possibly be going on. Thanks.

2014-11-12 05:00:00

Ben

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You'll definitely want the hep to consider things for you. I'd call the hep's office and at least talk to his or her staff on whether or not this needs to be moved on before the Aug appt. They can have the hep get back to you in a few days (email etc) even if a direct conversation wasn't possible. The ERCP procedure isn't without it's own hazards especially of the bile duct system maybe compromised in some way. Good luck.

2014-11-12 05:00:58

Amy