A healthy gallbladder is oval in shape. In its structure, the neck, body and bottom are distinguished. Its shape can change as a result of a congenital anomaly, inflammatory diseases, which result in spikes and constrictions. The deformation of the gallbladder is very often revealed in the examination of the abdominal organs.
Deformation of the gallbladder, causes
Deformation of the gallbladder is often found inchildhood and is a congenital anomaly. In adults, the change in shape occurs due to chronic or acute inflammatory processes in the bladder, the liver after the surgical interventions. Deformation can occur in the elderly, in asthenic patients, with the omission of internal organs. As a result of these changes, the gallbladder can be twisted or bend in the neck area, then tissue necrosis may occur. Chronic cholecystitis leads to thickening of the walls, violation of the outflow of bile. It stagnates, becomes putty and thick. This leads to the formation of stones (stones).
Deformation of the gallbladder, symptoms
Deformation of the gallbladder is characterized by symptoms that occur with reduced motor skills (dyskinesia) bile ducts. Exacerbation and complaints in patients appear aftereating disorders, drinking, physical activity, stress, exacerbation of concomitant diseases of the digestive tract. The patient complains of pain in the projection of the liver, having a cramping character, which can irradiate into the right arm, neck, back. Soreness troubles a short time, but can persist for up to several days. Painful sensations increase after eating. Dense bile, which should normally flow into the gut, stagnates, which can lead to the development of acute cholecystitis or to provoke pancreatitis. Then there is nausea, vomiting, subfebrile temperature may appear, disruption of the intestine, throwing bile into the stomach. If there are stones in the bladder, an attack of biliary colic with a strong pain syndrome and cholestasis and jaundice can begin.
Diagnostic measures
Deformation of the gallbladder is revealed whencarrying out ultrasonic scanning of abdominal cavity organs. The ultrasonic picture shows a deformed, altered and enlarged gallbladder. The walls of it are often thickened, in the lumen one can see constrictions, adhesions and thick bile. Sometimes the stones are visualized. In the formulation of the diagnosis, the proper collection of patient complaints and examination is of particular importance. With palpation examination of the abdominal wall, soreness is revealed in the area of the projection of the liver (right hypochondrium), in the epigastric region.
Treatment
When the diagnosis of "deformation of the biliarybladder ", the treatment of this pathology depends on the severity of clinical manifestations.If the symptoms are unstable and the exacerbations occur rarely, then they are limited to compliance with proper nutrition, taking choleretic medications .If the exacerbations are frequent and other organs are involved, complex treatment with antispasmodics, analgesics, digestive enzymes and cholagogue preparations.With expressed pain syndrome and the presence of concrements, surgical treatment is possible, which consists of cholecystea tomii.
In childhood, treatment and prevention of exacerbations is reduced to diet compliance. With age, as a rule, the deformation of the gallbladder disappears.
With a preventive and curative purpose, treatment is provided in sanatoriums with mineral springs, physiotherapeutic treatment.