obsolete calculus of gallbladder and bile duct without cholecystitis

Obsolete Calculus of Gallbladder and Bile Duct Without Cholecystitis

The ICD-10 code K80.7 was previously used to classify Calculus of gallbladder and bile duct without cholecystitis, a medical condition where gallstones are present in the gallbladder and/or bile ducts, but there is no inflammation or infection (cholecystitis) [3].

This condition can be further divided into two subcategories:

• K80.71: Calculus of gallbladder and bile duct without cholecystitis without obstruction
• K80.72: Calculus of gallbladder and bile duct without cholecystitis with obstruction

According to the WHO classification, this condition falls under the range of disorders related to the gallbladder and bile ducts [1].

Symptoms and Complications

While there may not be any symptoms or complications associated with this condition, it is essential to note that if left untreated, acute cholecystitis can lead to more severe conditions such as gallbladder rupture, a life-threatening situation [15].

Additionally, the presence of gallstones in the bile ducts (choledocholithiasis) can cause blockage and lead to complications like pancreatitis or jaundice [14].

Diagnostic Methods

Diagnosis of this condition may involve imaging tests such as ultrasonography, which can show stones in the gallbladder and occasionally in the common bile duct. A HIDA scan can also be used to monitor for any gallbladder dysfunction, indicating acalculous gallbladder disease [13].

References:

[1] ICD-10 code K80.7 - Calculus of gallbladder and bile duct without cholecystitis (WHO classification)

[3] Context result 5 - Gallbladder calculus (disorder), 722869007, Calculus of gallbladder without cholecystitis or cholangitis (disorder), 235919008

[13] Context result 13 - A HIDA scan begins with a radioactive tracer injected into an arm vein...

[14] Context result 14 - Ultrasonography may show stones in the gallbladder and occasionally in the common bile duct...

[15] Context result 15 - If not treated, acute cholecystitis can lead to gallbladder rupture...

Based on the search results, here are some signs and symptoms of gallstones in the gallbladder and bile duct without cholecystitis:

• Asymptomatic: About 80% of people with gallstones are asymptomatic, meaning they do not experience any noticeable symptoms [12].
• Upper abdominal pain: Some patients may experience upper abdominal pain, although this is not a universal symptom. The pain can be caused by the presence of gallstones in the bile duct, but it's not necessarily related to cholecystitis [13].
• Fatty food intolerance: Indigestion, belching, bloating, and fatty food intolerance are thought to be typical symptoms of gallstones; however, these symptoms are just as likely to occur without cholecystitis [3].

It's worth noting that the presence of gallstones in the bile duct can lead to complications such as secondary biliary cirrhosis and gallstone pancreatitis, but these conditions are not directly related to cholecystitis.

References:

[12] - About 80% of people with gallstones are asymptomatic. [13] - Upper abdominal pain is a symptom that may occur in some patients. [3] - Indigestion, belching, bloating, and fatty food intolerance are thought to be typical symptoms of gallstones.

Based on the provided context, it appears that there are several diagnostic tests available for detecting gallstones and bile duct stones, even if they are no longer considered "calcium-based" or "radiopaque". Here are some relevant tests mentioned:

• Ultrasonography: This is a non-invasive test that can detect gallstones with 90% to 95% accuracy (1). It can also identify pericholic fluid and thickened gallbladder walls in acute cholecystitis.
• Computed Tomography (CT) scanning: While less sensitive than ultrasonography, CT scans can still be used to diagnose gallbladder disease, including cholecystitis (4).
• Magnetic Resonance Imaging (MRI): MRI and Magnetic Resonance Cholangiopancreatography (MRCP) are useful in identifying common bile duct stones and delineating the biliary tree (8).

Additionally, there are some older tests that were mentioned as being obsolete:

• Oral cholecystography: This test is no longer used due to its low sensitivity and specificity for gallbladder disease (7).
• Contrast ultrasonography: While still used in some cases, this test has largely been replaced by more modern imaging techniques (7).

It's worth noting that the ICD-10 code K80.5 refers to "Calculus of bile duct without cholangitis or cholecystitis", which is a specific medical classification for gallstones and bile duct stones without inflammation or infection (9).

Based on the provided context, it appears that there are several treatment options available for gallstones in the gallbladder and bile ducts without cholecystitis (inflammation of the gallbladder).

Medications to Dissolve Gallstones

• Ursodiol (Actigall) is a medication that contains bile acids and can break up small cholesterol stones. It may take months or years of treatment to dissolve all gallstones [1].
• Chenodiol (Chenix) is another medication that contains bile acids and can be used to dissolve gallstones, particularly small cholesterol stones [2].

Other Treatment Options

• Extracorporeal shock wave lithotripsy (ESWL) is a nonsurgical alternative to manage gallstones. This treatment can be used as long as the gallbladder is intact [6].
• Endoscopic sphincterotomy without subsequent cholecystectomy is another option for managing bile duct stones and cholangitis [3].

Key Points

• Medications such as ursodiol and chenodiol can be used to dissolve small cholesterol gallstones.
• ESWL is a nonsurgical alternative for managing gallstones.
• Endoscopic sphincterotomy without subsequent cholecystectomy is an option for bile duct stones and cholangitis.

References

[1] Context #1: "Ursodiol (Actigall) and chenodiol (Chenix) are medicines that contain bile acids that can break up gallstones." [2] Context #1: "These medicines work best to break up small cholesterol stones." [3] Context #3: "The main modalities for nonsurgical treatment of gallbladder stones include oral dissolution therapy with bile acids, and percutaneous cholecystostomy and stone extraction. Nonsurgical management of bile duct stones (choledocholithiasis) and cholangitis, including endoscopic sphincterotomy without subsequent cholecystectomy, are discussed." [6] Context #6: "Extracorporeal shock wave lithotripsy (ESWL) is a nonsurgical alternative to manage gallstones. You can receive this treatment as long as your gallbladder is intact."

Based on the search results, it appears that you are looking for the differential diagnosis of gallstones in the gallbladder and common bile duct without acute cholecystitis.

According to the search results, the differential diagnoses for gallstones in the gallbladder and common bile duct without cholecystitis include:

• Bile leak
• Retained stone
• Abscess
• Biliary dyskinesia
• Peptic ulcer disease
• Irritable bowel syndrome
• Non-ulcer dyspepsia

Additionally, it is worth noting that the presence of gallstones in the common bile duct (choledocholithiasis) can also be a differential diagnosis for this condition.

It's also mentioned in search results 9 and 12 that RUQ pain can be caused by various conditions including gallbladder disease, symptomatic cholelithiasis, choledocholithiasis, acute cholecystitis, gangrenous cholecystitis, among others.

According to search result 13, Gangrenous cholecystitis is a condition where the gallbladder is markedly distended and has thickened walls with multiple striations. However, this condition is associated with acute cholecystitis which you have excluded in your query.

It's also mentioned in search results 10 that Gallstones can cause both chronic pain and episodic discomfort, but it does not provide a differential diagnosis for the condition without cholecystitis.

According to search result 11, Choledocholithiasis is the presence of stones within the common bile duct (CBD) which is a differential diagnosis for this condition. However, it's estimated that common bile duct stones are present in anywhere from 1-15% of patients with cholelithiasis.

According to search result 14, A comprehensive flowchart was prepared for the diagnosis and treatment of gallbladder stones, common bile duct stones, and intrahepatic stones, respectively. However, it does not provide a differential diagnosis for this condition without cholecystitis.

References: [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]