Bend of the gallbladder: causes, clinical manifestations, treatment.
Such a pathology as the bending of the gallbladder usuallyare detected by chance, when performing ultrasound scanning of internal organs. Basically - it's a congenital anomaly. The very bend of the gallbladder, as an independent pathology and any symptoms characteristic of it, are not often manifested. The cause of the appearance of complaints is a concomitant disorder of motility of the biliary tract.
Normally, the gallbladder is oval in shape,It looks like a pear and consists of several parts: the body, the bottom and the neck. Possible bends are usually located in the area of the transition of the body into the neck of the bladder or in the area of its bottom. There can be several kinks.
What are the causes of bending of the gallbladder?
The bend is not only congenital. Deformation of the gallbladder can be formed as a result of a chronic inflammatory process in the bladder or after the transferred acute cholecystitis, as a result of which spikes formed and the wall of the bladder was deformed. In old age or as a result of severe exhaustion with any diseases, internal organs may fall. As a result, the gallbladder can flex and even twist, leading to tissue necrosis and peritonitis.
With prolonged chronic cholecystitis,The inflammatory process causes deformation in the walls of the gallbladder. Spikes appear, and bile, which normally should flow into the duodenum, stagnates, leading to the formation of stones.
Bend of the gallbladder: symptoms
Complaints of the patient are similar to those occurringwhen there is a violation of the motility of the biliary tract. Usually, after errors in the diet, nervous overstrain, stress in the right hypochondrium, there are pains of a cramping character. Pain can radiate to the shoulder, back, neck. In addition to the pain syndrome, the bending of the gallbladder during an exacerbation may manifest as general vegetative symptoms: palpitation, sweating, pallor of the skin. Seizures do not last long or, conversely, last for several days. Aching pain can be felt for several weeks, intensifying after eating. Jaundice of the skin is not observed. Violation of the outflow of bile can lead to inflammation of the bladder (cholecystitis), which affects the state of other digestive organs. There is a reactive pancreatitis, gastritis. Appear dyspeptic phenomena: nausea, vomiting, bitterness in the mouth.
With a prolonged violation of the outflow of bile in the gallbladder, stones are formed. And the clinical picture during the exacerbation is much brighter, and the pain syndrome is stronger.
Diagnosing the bend of the gallbladder is not difficult. Diagnosis is made on the basis of complaints and examination of the patient, as well as on the basis of data from instrumental research methods. The most reliable is ultrasound. On sonograms you can see a modified bubble of a curved shape. The walls of it can be thickened, the spikes, sometimes the stones (stones) are visualized. The size of the gallbladder can be increased.
Bend of the gallbladder: treatment
Treatment of this pathology depends oncause and severity of the process. The detected excesses of the bladder in childhood with the growth of the child may disappear. If the bend is acquired, its treatment is required. Treatment can take more than one week. The duration of therapy and medication is prescribed by the doctor after the examination. It is very important for the patient to observe a sparing diet and eat regularly. It is important not to provoke exacerbations of too fatty and spicy food, alcohol. Appointed spasmolytic and choleretic preparations, tjubazhi, physiotherapeutic procedures, digestive enzymes, mineral water. Beneficial effect of sanatorium treatment, therapeutic exercise, calm environment.