ejection fraction of 87.8%

[LESLIE2426]

I Have had GIi problems for years. I recently had a gallbladder ultrasound which was okay except for mild prominence to the common bile of 7.5mm. I then had a Hida scan. My ejection fraction was 87.8%. Excretion into the small intestine was seen 15-20min. postinjection. Mild symptoms were reproduced  with the cholecystokinin injection with relatively rapid transit of the radiopharmaceutical through the small intestine. When I have pain it is usually epigastric followed by diarrhea. I have some vague right sided abd pain. This past episode though, I have severe pain between my shoulder blades especially on the left side. It hurts when taking a deep breath. That is my main problem now. I am scheduled for surgery since my Docs believe that a hyperkinetic gallbladder needs to be removed but I worry my back pain may be something else.  So my question is Can this problem cause severe left sided back pain? Thank you in advance for your help

[Christopher R Watters, MD]

It is very common for biliary pain to refer to the back, typically near the tip of the right shoulder blade. The slight ductal dilatation may well represent a component of sphincter of Oddi dysfunction. I agree with the cholecystectomy but there is a chance that you may continue to have symptoms post op and ultimately require a sphincterotomy which is done endoscopically. Generally, the gallbladder must be out of the system before this diagnosis is detected.

[LESLIE2426]

Thank you for your help. I'm scheduled for surgery in 3 days and I'm still not sure if it is the right thing to do. I'll post a comment after surgery....if I have it. Thank you!