Can hospitals leaves a gallstone blocking a duct ??

[hopingforadviceplease]

Husband is in hospital, he had a blocked duct from a gallstone, he's in tremendous pain and temp keeps spiking. He's on antibiotics.
The hospital seem to be leaning towards letting him go home if his temps remains stable.
Surely this can't be right ?
He is at risk of pancreatitis and sepsis if the duct remind blocked !
What are their reasons for this ??

I had this and my gallbladder was too ‘angry’ to be removed on the spot. I was on IV antibiotics for days, was then sent home, and my gallbladder removed a couple of months down the line.

Did you have to just keen an eye out for signs of jaundice etc ?
It seems ridiculous to me. As if it was life threatening they'd just whip it out
But it can so easily become life threatening

They seemed to see it as getting me on an even keel in hospital, then home, they didn’t seem worried about discharging me. And I had so wanted them to take it out then and there.

How was your pain levels when home ? Did they give you anything to manage it with ?
Dh is still in quite abit of pain.
Got to say I am so shocked that they would let anyone go home with a stone lodged in a duct, it seems crazy ! Why not treat the infection and then take it out a few days later ? Doesn't make sense. Just seems so risky!

Depends which duct, how unwell he is, whether conservative treatment is helping, whether he has additional medical problems. They will be able to explain the rationale for their plan to him if he asks.

I was told it risks complications with the operation to go ahead when inflamed, and they want to avoid complications.

I was still in significant pain on leaving hospital.

My mum had this, unless it's immediately life threatening, the safer route is getting the infection under control and then removing it.

She was in pain, had strong painkillers and antibiotics prescribed. Can't remember how long it took but she then had a scheduled surgery to remove it.

I had this. Was in hospital for 5 days on IV antibiotics and then sent home. I had my gallbladder removed 2 months later once the infection cleared.

If he is on antibiotics then he has an infection.

You really do not want to cut someone open (even with keyhole) when they are infected.

Imagine the gall bladder is a balloon. The best way to remove it is when it is empty. At the moment the gall bladder is full of liquid. So it makes it more difficult to remove and risks a cut to the gall bladder allowing the fluid to leak, spreading the infection.

I'm not being unsympathetic, I had this at age 17. I thought I was going to die.

Gallbladder pain is awful. I think the plan will be, as pp have said, get the infection under control and then remove the gallbladder asap afterwards. I was told it would be an emergency removal if I developed jaundice.
when your DH feels well enough to eat it’s the blandest diet imaginable. I lived on bananas and rice for weeks. Lots of water to drink.

Yes he has got an infection hence being on the antibiotics. He's not been told by the consultant he hasn't got a stone lodged but a swollen gallbladder.
So what is it ?! Being told one thing by one doctor and then another by the consultant 🙄

I think you’ve got acute cholecystitis and cholangitis muddled up. One needs intervention pretty quickly, the other may not. You’ve had a whole bunch of replies from people who’ve had cholecystitis rather than cholangitis. Surgeons do sometimes do urgent cholecystectomy for acute cholecystitis but it isn’t always needed/the right thing to do and sometimes the decisions change during the course of a stay based on whether things are getting better/worse etc. Best people to ask are the team looking after him - they will know where the stone is/was, whether there’s any evidence of pancreatitis and whether things are getting better/worse. No one on here can give you any advice/reassurance without knowing the exact details.

@Greybeardy it's more the being told one thing by one doctor then another thing by a consultant that's annoying. It's like nobody actually knows what it is that's wrong

I think the worse thing about the NHS is the inconsistency of treatment and diagnosis , you can be told several different things by several different people within a short space of time and without having any additional tests .You sort of lose faith .

This is exactly what's happened. His care has been a joke to be honest, there hasn't really been none

My gallbladder was inflamed but they took it out as it was on the verge of popping had to have open surgery as it was too big to be removed through keyhole