Hydrops of the gallbladder – what is this, symptoms, diagnostics, treatment and prevention of the disease Dropsy of the gallbladder
Hydrops of the gallbladder – What is this disease? Hydrops of the gallbladder is a disease, which occurs because full or partial obstruction gallbladder duct, resulting in gallstone formation occurs the accumulation of exudate and mucus.
Hydrops of the gallbladder: the cause of the
Hydrops of the gallbladder is formed as a result of the disruption of the outflow of bile bladder into the common bile duct. The causes of violations of outflow of bile, there are several. In particular, the outflow of bile can be caused by congenital features of structure of gallbladder duct (for example, when its pathologic tortuosity), his blockage of stone in gallstone disease, squeezing the outside, formation of cicatricial strictures (contractions).
A role is also played by previous chronic infection of the gallbladder and bile ducts, in particular, cholecystitis.
Hydrops of the gallbladder: symptoms of dropsy of the gallbladder
Hydrops of the gallbladder often develops against the backdrop of chronic infection of biliary tract, Therefore, its occurrence can precede bouts of hepatic colic.
Hydrops of the gallbladder may not show up for a long time, especially when its small size. When the gall bladder reaches a considerable size, the patient had pain occurs in the right podreberie and muscle of the anterior abdominal wall in the liver. Usually the pain is aching and dull, moderate, spreading in the right shoulder blade or shoulder.
Hydrops of the gallbladder: ddiagnostics
In diagnosis of dropsy of the gallbladder are most informative instrumental methods: panoramic radiography of abdominal cavity organs, retrograde cholangiopancreatography (CPGRE), holetsistografia, ultrasonography of the liver and gallbladder, holedohoskopija, magnetic resonance percutaneous transhepatic cholangiography, computed tomography of biliary tract, magnetic resonance imaging of bile ducts and liver, Multispectral computed tomography of the abdomen.
The most informative method of diagnosis of dropsy of the gallbladder – diagnostic laparoscopy. When identifying dropsy big sizes during this research, Deletes the modified gallbladder.
Hydrops of the gallbladder: types of disease
Hydrops of the gallbladder can be complicated and neoslojnennoe for.
Hydrops of the gallbladder: patient actions
When you see the poly in the right podreberie, seek medical advice (gastroenterologist).
Treatment of hydrops of gallbladder
When hydrops of the gallbladder has small dimensions, conservative treatment is possible with regular status and control the size of the gallbladder. If the positive dynamics of conservative treatment is missing, the patient performs the operation-cholecystectomy (removal of the gallbladder). At a dropsy gallbladder large size is always surgical treatment.
Tactics of surgical treatment for edema of the gallbladder depends on the clinical situation: Perhaps the product of laparoscopic or open cholecystectomy. Currently, usually, preference for laparoscopic cholecystectomy.
Hydrops of the gallbladder: complications
Hydrops of the gallbladder has dangerous complications. When late detection of this disease develops a significant stretch of the walls of the gallbladder, that can lead to the formation of microperforations in its shells. In this case, the contents of the gall bladder gradually enters the abdominal cavity, calling it the development of inflammatory process (peritonitis). The most terrible complication of dropsy of the gall bladder is ruptured gall bladder with the development of bleeding and peritonitis.
Prevention of dropsy of the gallbladder
Prevention of dropsy of the gallbladder is to ensure timely treatment of inflammatory diseases of the gallbladder and bile ducts, which are often the root cause of this pathology.
Besides, the diet in diseases of the gallbladder and bile ducts is necessary. Usually the doctor selects the patient a rational diet therapy.
