HYDROPS OF THE GALLBLADDER (HYDROPS VESICAE FELLEAE)

HYDROPS OF THE GALLBLADDER (HYDROPS VESICAE FELLEAE)- QR

SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention

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What is the HYDROPS OF THE GALLBLADDER (HYDROPS VESICAE FELLEAE) and how it is treated?

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Etiology and pathogenesis HYDROPS OF THE GALLBLADDER (HYDROPS VESICAE FELLEAE)

The blockage of the cystic duct by a stone or his scar narrowing to a complete obliteration of the lumen. Helps narrow the lumen of the duct (3 mm) with a length of 3 - 7 cm, the Development of dropsy is preceded by inflammation in the bladder, weak the infection. In chronic inflammation of the bladder wall into the lumen allocated inflammatory exudate and mucus. In the absence of emptying bladder transparent serous-mucous exudate stretches its walls become thinner. The fluid may be sterile, as the bacteria die, bubble, stretched, sometimes reaches vast proportions. The mucosal folds are smoothed out, it atrophies.

 

Symptoms and course HYDROPS OF THE GALLBLADDER (HYDROPS VESICAE FELLEAE)

Symptoms. Dropsy of the bladder often begins with biliary colic (pain intense character in the right upper quadrant radiating to the right shoulder or scapula, often after intake of fatty and spicy foods or bumpy drive, calming after injection of morphine, pantopoda), but may develop with a gradual worsening of symptoms. Appear dull pain in the right hypochondrium, the temperature rises to 37 - 38ºdetermined by local pain and muscle tension at the edge of the straight muscles under the costal arch. Picture of acute cholecystitis several subsides, the temperature is falling, pain is reduced; in the abdominal cavity is defined by the oval-shaped elastic body, respectively, the area of the bubble, slightly painful, movable (fixation of the cervix). When duodenal intubation and the introduction 30,0 25% solution of magnesium sulfate is absent gallbladder bile (portion). X-ray study of the shadow of the gall bladder is absent.

Course and complications. The increase in bladder dropsy usually grows slowly; breaks the bubble.

Recognition HYDROPS OF THE GALLBLADDER (HYDROPS VESICAE FELLEAE)

When expressed little picture of an acute attack, the patient often seeks only on occasion found them in the abdomen swelling, which should be differentsirovat from tumors of the abdomen, hydronephrosis, cysts. Definitely x-ray examination.

Treatment.

Operative treatment.

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