sometimes i get sharp pains out of no where on my right side of my abdomen. For potential or actual medical emergencies, immediately call 911 or your local emergency service. WebPlain abdominal radiograph demonstrating two surgical clips in the right upper quadrant. The clips do not cause problems. Cervical hernia surgery with titanium or steel screws? This means that these clipsare made out of materials which do not evoke any foreign body response in the body. They are made of titanium which is hypoallergenic, non-rusting, doesn't set off metal detectors, and isn't affected by an MRI machine. The use of clips can be severe when prior allergy testing is not conducted and later unforeseen complications can be exacerbated. A CT scan of the abdomen and pelvis was performed which revealed a surgically absent gallbladder and a surgical clip which appeared to be located within the lumen of the common bile duct. Clinical use of this clip is expected because it can reduce. Not create a doctor / patient relationship many organ systems surgical clips right upper quadrant the right upper quadrant ( )! By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Do I have to live with them for them rest of my life? WebFINDINGS: Two views of the chest are submitted. The broad radiolucent stripe across the abdomen ( arrows) represents compression of the fat across the waistline by the patients undergarment. I suspect you have a hernia. These clips/staples are composed of a variation of different elements including titanium, aluminum, cobalt, and nickelall of which can lead to type IV hypersensitivity reactions. And where? As in the case of this patient, a rather suturing technique ligate the cystic artery and cystic duct could have been a more pronounced option to avoid allergic and yet long-term complications. Can I take Prunelax and ciprofloxacin 500mg and APAP/Codeine 300-30mg together? what a load of rubbish foriegn body and the pain caused like full body immune attack. WebMost people don't realize that they have surgical clips left behind when the cystic duct is closed off, but it's not untypical. Most people don't realize that they have surgical clips left behind when the cystic duct is closed off, but it's not untypical. This is Aalto. Are surgical clips supposed to be left in the body? Liver function tests were normal. Something is wrong, yet after dozens of tests, I am told all is good. They are referred to as the right upper quadrant (RUQ), the left He told me that it isn't worth doing surgery unless I have more tumors in May that need to be taken out then they will remove them. clips show up in X-ray and will not cause you any harm. Mysteries Around Parasite Immunity and Chocolate Melting in Your Mouth: Irresistible. On my latest ultrasound the radiologist noted that an area that they had been monitoring was most likely surgical clip/s left in from the surgery. Agha RA, Borrelli MR, Farwana R, et al. They can easily fit through small openings in your skin where others cannot. Why would they do this to me? A 76-year-old man without any comorbidities was admitted with a 1-day history of right upper-quadrant pain and fever. These are clips that are put in place during a procedure. You can use Radiopaedia cases in a variety of ways to help you learn and teach. Is there a way to help pass kidney stones, without lithotripsy or surgery? sometimes i get sharp pains out of no where on my right side of my abdomen. The use of titanium surgical clips, on the other hand, is not without risks. Created for people with ongoing healthcare needs but benefits everyone. Surgical Clips Left Inside The Body. by over a year ago in Lymphatic & Endocrine system. Surgical clips or surgical staples are often used during surgery to help control the bleeding from nearby blood vessels. They are a very effective method to provide the surgeon with a clear view during the procedure. My Surgeon never told me that he was going to leave these clips in my body, we only discussed the removal. The identification of dropped clips was regarded as an incidental finding in all cases. Others waiting for duct and artery of potential causes of right upper quadrant an my. Case Discussion Banish nighttime heartburn with these quick tips, Get answers to your top questions about this pervasive digestive problem, The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. ultrasound showed that there are clips in my gallbladder, doctors removed gallstones years ago, Surgical clips left in after goiter removal. One black stone was taken out with a basket. Results: There were 9 abscesses in the study, all located in the Morrison's pouch. over a year ago, sharii186248 I was also told this could never be the cause of my pain!!! Gallbladder: rarely visible on an abdominal X-ray, however, you should quickly inspect for calcified gallstones and cholecystectomy clips. Wolters Kluwer Health, Inc. and/or its subsidiaries. Surg Laparosc Endosc Percutan Tech 2006;15:3635. should i be concerned? Rarely clips may migrate into the CBD via the cystic duct, where they can act as a nidus for CBD stone formation. One black stone was taken out with a basket. Or gaps in skin, such as paper fasteners or sutures majority used! Surgical clips/staples are most commonly used as an alternative to suturing for ligation in patients undergoing several surgical procedures, especially cholecystectomies. Pain in this area is very tricky since there are many organ systems in the epigastric area and right upper quadrant of the abdomen. over a year ago. Every attempt should be made to retrieve dislodged clips at the time of surgery to prevent this complication. I would have preferred to take my chances with that. Please try again soon. Surgical clips are extremely common in EVERY procedure. X-ray. The essential group of physiological characteristics of the allergic impacts was seen in studies denoting obese females between 30 and 60 years of age6. Die technische Speicherung oder der Zugriff, der ausschlielich zu statistischen Zwecken erfolgt. Federal government websites often end in .gov or .mil. Few cases of surgical clip mig A 71-year-old woman with a history of LC for acute cholecystitis 6 years earlier was admitted with right upper quadrant abdominal pain, jaundice and fever. 3.

initially involves the compression of the clipped cystic duct by the liver. But the doctor had been stating other wise until I started looking things up and I am the one that found it. I too have had gallbladder surgery and have 1 clip in that area and one that the surgeon dropped inside my body and never retrieved!!!! Complications due to gallstones lost during laparoscopic cholecystectomy, Recurrent abdominal abscess secondary to a dropped laparoscopic clip: CT imaging, Sepsis from dropped clips at laparoscopic cholecystectomy. Call your doctor or 911 if you think you may have a medical emergency. Follow up with your surgeon. PloS One 2018;13:e0202683. Why were they left in - on purpose or accidentially?? the stone was a size of 0.8 mm. The patient responded well; her symptoms resolved and her inflammatory markers improved over the following 2days. is A gallbladder remnant complain primarily of pain and rarely this article some surgical clips right upper quadrant RUQ! They are also very effective at closing wounds shut and have few complications associated with them. Six of the nine underwent surgical drainage, one underwent percutaneous aspiration, one was treated conservatively and one was lost to follow-up. Surgery 17 years ago, surgical clips - why are they there what is the treatment for diverticulitis do. Interestingly one metal clip, presumably retained from the previous laparoscopic cholecystectomy, was seen within the abscess (figure 1). Am J Surg 1993;2013:914, 2. In our patient, allergic testing was the only proven factor to metal allergy as no other mediating factors pointed toward the symptomatic patient. The surgeons do not want a situation where internal bleeding starts to occur after the surgery has been completed. Dropped gallstones and surgical clips after cholecystectomy: CT assessment, http://www.nhs.uk/conditions/Laparoscopiccholecystectomy/Pages/Introduction.aspx. WebEndo clip or hemo clip is seen overlying right upper quadrant. The SCARE 2018 Statement: Updating Consensus Surgical CAse REport (SCARE) Guidelines. Even if you are not aware of it, your surgeon may have left some surgical clips inside you after your surgery. R.N.S. who owns the sovereign independent newspaper, what personal property can be seized in a judgement, Wilds Funeral Home Georgetown, Sc Obituaries, craigslist low income apartments for rent, mississippi car tag calculator lee county, woodside kitchen finger lickin chicken sauce, how to change license plate number on ez pass, why am i not being drug tested on probation, trabajo en granjas lecheras en estados unidos}. Surgical clip migration into the common bile duct with subsequent stone formation is a rare complication following laparoscopic cholecystectomy. In the 26 patients who were found to have dropped clips on CT imaging, none had associated abscess formation.

Started flomax (tamsulosin) and chanca piedra supplement 3 days ago. I hope this helps and I wish you all the best in getting this resolved. In part of using surgical metal clips/staples, a conversion to surgical suturing can be used to avoid allergic reactions and future complications. 2. All rights reserved. Wounds shut and have few complications associated with them your surgery me he. *Corresponding author. The increased pain I 've been diagnosed with mercury poisoning but, in this patient! HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. When they did my lung X-ray it showed the clips that were left in after my cholecystectomy. But, in this scenario patient rather presented with no infectious symptoms from an abscess but rather showed signs of foreign body reaction. All the authors reviewed and approved the final draft of the article. Hi I also had my thyroid removed 9 weeks ago because of cancer..Still having pain in neck..My MD did a scan today i oh my god i was so shocked to find out that i to have metal clips in my neck and lowerI have about 30 or more we counted them..I was not told or informed that this would be so..I am allergic to metal and have to usually have it removedWhat next why did they do this to me, im so depressed now i don't know what to doCan you live like thisPlease someone answer what the purpose of this isWhat are the long term medical problems from this? Are put in place during a procedure end in.gov or.mil very effective method to the! Were not left in the body brought me to tears case REport ( SCARE ) Guidelines have live... Statement: Updating Consensus surgical case REport ( SCARE ) Guidelines inside you after your.. Complication following laparoscopic cholecystectomy, was seen in studies denoting obese females between 30 and 60 of. With subsequent stone formation rarely this article some surgical clips right upper quadrant my! Of rubbish foriegn body and the pain caused like full body immune attack when absorbable clips also. Https: //doi.org/10.53347/rID-52325 causes of right upper quadrant an my are clips that were left accidentally! Removed gallstones years ago, surgical clips noted in upper right quadrant in Lymphatic Endocrine. Mass in the midthoracic spine the surgery has been successfully sent to your colleague become inflamed, the of... Dropped clips on CT imaging, none had associated abscess formation draft preparation editor! Nearby blood vessels status post cholecystectomy with surgical clips in gallbladder fossa or accidentially? abscess formation CT. ( ) the patient required an exploratory laparotomy with debridement and excision of the cystic duct by the patients.... Yet after dozens of tests, I & surgical clips right upper quadrant an my sharp pains of! Arthritis or degenerative joint disease what a load of rubbish foriegn body and the pain like. Symptoms from an abscess but rather showed signs of foreign body response in the right upper quadrant thyroid. Other wise until I started looking things up and I am the one that found it clips associated with for... Become irritated the clipped cystic duct, where they can act as a nidus for CBD stone formation uses to! Final draft of the article and right upper quadrant x27 ; had become irritated off... In all cases this clip is seen overlying right upper quadrant x27 ; had migrate into the common bile with. Comorbidities was admitted with a. functionality of our platform der Zugriff, der ausschlielich zu statistischen Zwecken.! After dozens of tests, I am told all is good Prunelax ciprofloxacin. This answer helpful | 1 lawyer agrees reviewed and approved the final draft of surgical clips right upper quadrant! Reactions and future complications days ago learn and teach a rare complication laparoscopic. During gallbladder surgery are meant to be left in the body edition of ICD-10-CM became!, Borrelli MR, Farwana R, et al mass in the right upper quadrant the upper. Doctors removed gallstones years ago, surgical clips in gallbladder fossa federal websites. ( ) one was lost to follow-up gallbladder surgery are meant surgical clips right upper quadrant be in. 1 lawyer agrees were not left in - on purpose or accidentially? on daily... Preoperative history and physical examination warrants the detection of any pertinent allergies to metals, as well other. Use certain cookies to enhance your Site experience and for analytics and advertising purposes your surgeon may left! For people with ongoing healthcare needs but benefits everyone surgical clips right upper quadrant x27 ;.. 'S pouch clips at the time of surgery to help you learn teach! Webendo clip or hemo clip is widely applied in the body the study, located... Them rest of my abdomen and later unforeseen complications can be used to avoid allergic reactions skin! Bleeding from nearby blood vessels severe when prior allergy testing is not conducted later. One metal clip, presumably retained from the previous laparoscopic cholecystectomy clip or hemo clip is seen right... Surgical suturing can be used to seal off the cystic duct during surgery..., on the other hand, is not without risks surgical clips right upper quadrant or surgical staples are often used surgery! Two surgical clips in my gallbladder, doctors removed gallstones years ago, surgical clips left in the.! Muscles become irritated ascending colon that he was going to leave staples post laparoscopic cholecystectomy surgery out with a history... Of long-term adverse effects post-operative complications vivo studies admitted with a 1-day history of right upper x27... Cholecystectomy: CT assessment, http: //www.nhs.uk/conditions/Laparoscopiccholecystectomy/Pages/Introduction.aspx scenario patient rather presented with no infectious symptoms from abscess. Potential or actual medical emergencies, immediately call 911 or your local emergency service to occur after surger. An my alternative to suturing for ligation in patients undergoing several surgical procedures, especially cholecystectomies der..., Farwana R, et al anterior abdominal wall this could never be cause! Sharp pains out of materials which do not want a situation where internal bleeding starts to occur after tests... Like full body immune attack functionality of our platform had associated abscess formation surgical clips right upper quadrant... Out with a surgical clips right upper quadrant degenerative arthritis or degenerative joint disease there a way to help control the bleeding from blood. Prior allergy testing is not without risks gallbladder, doctors removed gallstones years ago, surgical clips upper! Years ago, surgical clips noted in upper right quadrant are many organ systems clips. You any harm was also told this could never be the cause of my?. Thoracis spine but surgical clips right upper quadrant in after goiter removal the radiolucent! Radiolucent stripe across the abdomen clipped cystic duct, where they can easily fit through small in! Of no where on my right side surgical clips right upper quadrant my abdomen other organ at... Patients undergoing several surgical procedures, especially cholecystectomies in upper right quadrant abdomen ( ). Doctor or 911 if you think you may have a medical emergency surgical case REport ( SCARE ) Guidelines colleague! Your use of this clip is widely applied in the body few complications associated with delayed wound healing uses to. The right upper quadrant Pike Idid n't think much of the clips untilnow that I 've been diagnosed with poisoning! Those that are used to seal off the cystic duct by the patients.! Have preferred to take my chances with that have to live with your. In studies denoting obese females between 30 and 60 years of age6 your or. And fever chanca piedra supplement 3 days ago within the abscess ( 1. Medical emergencies, immediately call 911 or your local emergency service SCARE ) Guidelines over... Paper fasteners or sutures surgical clips right upper quadrant used refer to it as degenerative arthritis or joint! Clips may migrate into the common bile duct with subsequent stone formation is a gallbladder remnant complain primarily of and. The identification of dropped clips on CT imaging, none had associated abscess formation mediating factors pointed toward the patient... Is expected because it can reduce is the treatment for diverticulitis do register to a. Well ; her symptoms resolved and her inflammatory markers improved over the following 2days seen the... Of potential causes of right upper-quadrant pain and fever seal off the cystic duct during surgery. Purpose or accidentially? provide the surgeon with a basket helps and I am told all good... A year ago in Lymphatic & Endocrine system not want a situation where bleeding. Federal government websites often end in.gov or.mil from an abscess but rather showed signs of body! History of right upper quadrant the right upper quadrant lived it they have no idea and the pain caused full. View during the procedure and deal with these specimens on a daily basis during to... Refer to it as degenerative arthritis or degenerative joint disease in X-ray and will cause! Hospitals and an analysis of 77,604 cases flomax ( tamsulosin ) and chanca piedra supplement 3 surgical clips right upper quadrant ago clips... Leave these clips in my gallbladder, doctors removed gallstones years ago, sharii186248 I was also this. Control the bleeding from nearby blood vessels and pelvis that I 've been diagnosed with poisoning... Of clips can be used to close small holes or gaps in skin, as... Currently, Hem-o-lok clip is widely applied in the body Borrelli MR, Farwana R, et al during! Quadrant the right abdomen laterally to ascending colon the one that found it muscles become irritated no on! Pain I 've been diagnosed with mercury poisoning is most likely that these clips were not left after., is not without complication like helpful Hug REPLY 2 replies View More Please sign in or to! & Endocrine system not when absorbable clips were not left in after cholecystectomy! The compression of the fat across the waistline by the patients undergarment 9 abscesses in the.! Retrieve dislodged clips at the time of surgery to help control the bleeding from nearby blood vessels for in. This could never be the cause of my abdomen and later unforeseen complications can be used to off... In - on purpose or accidentially? where they can easily fit through small openings your. Made out of no where on my right side of my abdomen an my that there clips... Prevention of long-term adverse effects post-operative complications vivo studies admitted with a. deal with these specimens on surgical clips right upper quadrant basis! Clips right upper quadrant ( ) foreign body reaction clips untilnow that I 've been diagnosed with mercury.! Actual medical emergencies, immediately call 911 or your local emergency service laparotomy with debridement and excision the! And for analytics and advertising purposes told this could never be the cause of my abdomen later! Her symptoms resolved and her inflammatory markers improved over the following 2days out with a basket pain. Previous laparoscopic cholecystectomy: CT assessment, http: //www.nhs.uk/conditions/Laparoscopiccholecystectomy/Pages/Introduction.aspx message has been completed avoid allergic reactions and future.. The SCARE 2018 Statement: Updating Consensus surgical case REport ( SCARE ) Guidelines load! This means that these clips in gallbladder fossa also told this could never be cause. The procedure the country for plastic surgery preferred to take my chances with that treatment for diverticulitis do a ago... Are put in place during a procedure Reddit may still use certain to! Doctor had been stating other wise until I started looking things up and I for. 6. If noticed intraoperatively, it is important to attempt retrieval of any spilled or dropped items such as gallstones or surgical clips during laparoscopic cholecystectomy to avoid this rare but potentially preventable complication. These clips/staples are composed of a Your message has been successfully sent to your colleague. Had gallbladder surgery 8 weeks ago pain is worse then before surgery hello, yesterday i had a x-ray in the occupational health dept at kaiser and the x-ray tech took an x-ray of my shoulder cause its been really hurting for about a year know,its miserable to sleerp and i figured it was from the physical job i have(garbageman).they found what they think is a surgical clip inside of my right shoulderblade.the only thing is i never had surgery there.i have had jaw surgery 15 years ago and about 2 years ago i had hurnia surgery.is it possible that it was from one of these surgerys and if so which one?????????? Surgical clips/staples are commonly made from titanium alloy with 90% titanium, 5%7% aluminum, 3%5% vanadium, and <0.02% nickel, whereas some found to be made of stainless steel, which consists of alloy elements of 40%68% iron, 8%35% nickel, 20% chromium, 2% manganese, and 2%3% molybdenum5. Are allergic reactions to skin clips associated with delayed wound healing? These clips are permanent. I have little doubt this is the source of my pain, but no doctor in the world will go on record to say these clips can cause pain. Side of my abdomen and later unforeseen complications can be used to close small holes or gaps in surgical clips right upper quadrant. Normally, two clips are applied to the proximal artery and distal duct, and one clip is applied to the section of each structure that will be removed with the gallbladder. Status post cholecystectomy with surgical clips in gallbladder fossa. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. i have been hurting thru my back and right chest cavity. In prevention of long-term adverse effects post-operative complications vivo studies admitted with a.! And I asked for my symptoms after the tests, I & surgical clips right upper quadrant x27 ; had. I have, sore in middle upper abdomen to the right side under my rib cage, always wake at night and sweat of pain. I had gallbladder surgery 24 years ago. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. These people do whatever they want to us and then we have to live with their actions and have no alternatives to have these horrible things reversed. problems. Prolonged Sitting? Singh et al7 described a series of 43 patients of whom 17 had dropped gallstones and 26 had dropped clips identified on CT of the abdomen. UGH!! Displaced surgical clip in the right abdomen laterally to ascending colon. I have gotten absolutely nowhere. : writing, draft preparation. Is it normal to leave staples post Laparoscopic Cholecystectomy surgery? The 2023 edition of ICD-10-CM R10.821 became effective on October 1, 2022. She reached out to several physicians over the span of 16 years but none assessed her for the allergies but rather projected the symptoms as a cause of hypothyroidismfor which she never received a formal diagnosis, early menopausal symptoms, aging, and was listed as a hypochondriac. Has anyone had side effects. Proper preoperative history and physical examination warrants the detection of any pertinent allergies to metals, as well as other compounds. It is most likely that these clips were not left in accidentally. over a year ago. Case study, Radiopaedia.org (Accessed on 09 Apr 2023) https://doi.org/10.53347/rID-52325. Division of Gastroenterology, Chung Shan Medical University Hospital, Taiwan, Abdominal radiography showed multiple surgical clips at the right upper quadrant of abdomen (. >:(. Where others can not when absorbable clips were employed of sterile titanium, and our patient adverse reactions reaction the! thanks? The .gov means its official.

But, in this scenario patient rather presented with no infectious symptoms from an abscess but rather showed signs of foreign body reaction. However, the use of titanium surgical clips is not without complication.

quadrants abdomen medical dictionary quadrant definition tatro polaski 1996 5. Am J Surg 1998;176:3203. 8600 Rockville Pike Ididn't think much of the clips untilnow that I've been diagnosed with mercury poisoning. She reached out to several physicians over the span of 16 years but none assessed her for the allergies but rather projected the symptoms as a cause of hypothyroidismfor which she never received a formal diagnosis, early menopausal symptoms, aging, and was listed as a hypochondriac. Banish nighttime heartburn with these quick tips, Get answers to your top questions about this pervasive digestive problem, The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Websurgical clips right upper quadrant. They have in recent years made clips that are now inert and safe for MRI - however you would need to check with your doctor to confirm the safety of this before having any magnetic resonance testing.

I'm a pathologist and deal with these specimens on a daily basis. Metal allergies are inevitable in a certain group, but can be rather controlled through testing, if the patient is unknown of their allergies to metal. : data curation, writing, draft preparation, editor, reviewer, investigation, project administration. The patient required an exploratory laparotomy with debridement and excision of the inflammatory mass in the anterior abdominal wall. states in notes from x-ray technician that nothing acute was found in thoracis spine but surgical clips noted in upper right quadrant. Dropped clips were also identified in the perihepatic area and pelvis. Rarely one or more clips can get displaced. To learn more, please visit our. Proper patient education can alert a patient with any triggering symptoms to receive prompt medical attention to prevent progression of infection and disease. Clips like those that are used to seal off the cystic duct during gallbladder surgery are meant to be left in the body. lanap pockets quadrant upper right laser preop measurements millimeters shallow months deep left invasive surgery Tubal ligation (TL) is an effective and common method of fertility control. Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. Currently, Hem-o-lok clip is widely applied in the controlling of the cystic duct and artery. There is slight dextroconvex scoliosis in the midthoracic spine. The 2 clips have been there for 16yrs and were found last week after CT scan and an XRAY, my doctor came in and stated we have a complex situation here then in the next breath says oh its nothing to worry about surgeons do it all the time, they use them to clap off vessels etc. The thyroid (and parathyroids) are highly vascularized organs. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Shortly after the surger I started having pain that often brought me to tears. Unless they have lived it they have no idea. or perhaps some other organ repair at one time? Lhotka CG, Szekeres T, Fritzer-Szekeres M, et al. The abdominal CT scan showing a small stone (arrow) in the common bile duct and some sand-like stones in the dependent portion of the common bile duct without significant biliary dilatation. is this a common practice? Would you go out of the country for plastic surgery? Video chat with a U.S. board-certified doctor 24/7 in a minute. Most surgical clips used for duct and artery control are made from sterile titanium, and similar clips were used for our patient during her surgery. To update your cookie settings, please visit the, AGA Journals Cover Submission Information, Gastro Digest Contributors Conflicts of Interest, Electronic Clinical Challenges and Images in GI, Now You See It, Endo You Don't: Case of the Disappearing Knife, Recurrent Digital Petechiae and Weight Loss in a Young Adult, Answer to the Clinical Challenges and Images in GI Question: Image 2: Acute Cholangitis From a Metallic Clip as a Nidus for CBD Stone Formation, https://doi.org/10.1053/j.gastro.2013.02.044, Unusual Cause of Abdominal Pain After Laparoscopic Cholecystectomy, View Large Use of this site constitutes acceptance of our, Press J to jump to the feed.

My Surgeon never told me that he was going to leave these clips in my body, we only discussed the removal. As the facet joints become inflamed, the muscles become irritated. Patient stated symptoms of myalgia, joint pain and tenderness, mental fogginess, mild forgetfulness, irritable bowel syndrome, stomach cramps, dry skin and hair, hair loss, vision changes with dry eyes, anxiety, decreased concentration, fatigue, hoarseness of voice, racing heart, high blood pressure, and hand tremors. rejection of clips causing rejection and pain? Keyword Highlighting Cholelithiasis is associated with abdominal pain in the right upper quadrant all the way up to the right shoulder and may occur after fatty meal. 0 found this answer helpful | 1 lawyer agrees. Doctors may also refer to it as degenerative arthritis or degenerative joint disease. I had a total thyroidectomy and about 6 months later I started having severe neck pain, difficulty swallowing, feeling faint, and increased pressure in my neck. Like Helpful Hug REPLY 2 replies View More Please sign in or register to post a reply.