USG shows mobile calculus in gall bladder lumen. Taking thyroxine for hypothyroidism. Your view?
Patient: Myself 59 yrs Indian female vegetarian weight 70 kg Height 5 feet 1 inch.My USG report suggests a 18 mm size frely mobile calculus seen in gall bladder lumen . Wall thickness normal .No edema .No pericholecystic fluid collection . Rest is normal. I am asymptomatic . I am hypothyroid taking .75 mcg thyroxine tab for last 5 years. Radiologist suggested surgery saying it is better to do it earlier since it may not be possible to do it at older stage if required. Sir what is your viewpoint ? Thanks Doctor: Hi, I would suggest you to undergo surgery at this stage once you are normal for thyroid hormonal studies. It is best to get the gall bladder removed when you have not developed any local complications. Once these develop surgery may be difficult with a chance of complications rising. A laparoscopic procedure will not cause much pain or discomfort. Regards