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Digestive Disorders

Gall Bladder Polyps

10/13/2009

Question:

I have been plagued for years with RUQ pain. Last year they did a CT scan after a hysterectomy and said I had gallstones. This month the pain got so bad I went to the ER. They admitted me and ran a CT Scan which showed no gallstones, they also did A HIDA scan which showed polyps ans an ejection fraction of 1%, saying there was no signifigant response of the gallbladder to IV CCK. What does all this mean?

Answer:

Basically your gallbladder is not functioning as it should. The ejection fraction should be above 35-40%, meaning 40% of the bile gets drained with each contraction. Only 1% of yours does. You need your gallbladder removed.

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Response by:

Annette  Kyprianou, MD Annette Kyprianou, MD
Senior Clinical Instructor of Medicine
School of Medicine
Case Western Reserve University