Such a pathology as the bend of the gallbladder is usually detected by chance, during an ultrasound scan of the internal organs. Basically, this is a congenital anomaly. The bend of the gallbladder itself, as an independent pathology and any symptoms characteristic of it, does not often appear. The cause of complaints is a concomitant violation of biliary motility .
Normally, the gallbladder has an oval shape, looks like a pear and consists of several departments: body, bottom and neck. Possible bends are usually located in the area of transition of the body into the neck of the bubble or in the region of its bottom. There may be several excesses.
What are the causes of gallbladder bending?
Bending is not only congenital. Deformation of the gallbladder can form as a result of a chronic inflammatory process in the bladder or after acute cholecystitis, as a result of which adhesions formed and the wall of the bladder was deformed. In old age or as a result of severe exhaustion in any disease, omission of the internal organs may occur. As a result, the gallbladder can bend and even twist, leading to tissue necrosis and peritonitis.
With prolonged chronic cholecystitis, the inflammatory process causes deformation in the walls of the gallbladder. Adhesions 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 manifestations that occur in case of impaired biliary motility. Usually, after errors in the diet, nervous strain, stress in the right hypochondrium, cramping pains appear. Pain can radiate to the shoulder, back, neck. In addition to pain, bending of the gallbladder during an exacerbation can manifest itself with general vegetative symptoms: palpitations, sweating, pallor of the skin. Attacks do not last long or, conversely, last 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 reactive pancreatitis, gastritis. Dyspeptic symptoms appear: nausea, vomiting, bitterness in the mouth.
With a prolonged violation of the outflow of bile, stones form in the gall bladder. And the clinical picture during exacerbation is much brighter, and the pain syndrome is stronger.
Diagnosing the bend of the gallbladder is easy. The diagnosis is made on the basis of complaints and examination of the patient, as well as on the basis of instrumental research methods. The most reliable is ultrasound. On sonograms, you can see the changed curved bubble. Its walls can be thickened, adhesions are visualized, sometimes stones (stones). The size of the gallbladder can be increased.
Bend of the gallbladder: treatment
The treatment of this pathology largely depends on the cause and severity of the process. 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 may 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 follow a sparing diet and eat regularly. It is important not to provoke exacerbations of too oily and spicy foods, alcohol. Antispasmodic and choleretic drugs, tyubazh, physiotherapeutic procedures, digestive enzymes, mineral waters are prescribed. Sanatorium treatment, physiotherapy exercises, calm atmosphere are beneficial.