gallbladder-colon hepatic flexure adhesion syndrome

Introduction

Introduction of gallbladder-colonal hepatic syndrome Cholecysto-hepatic Flexure Adhesion Syndrome was first described by Verbryche in 1930, so it is also known as Verbrycke syndrome, gallbladder hepatic duct adhesion syndrome. When the clinical manifestations are erect, there are symptoms such as dull pain in the upper abdomen or right upper abdomen, nausea, loss of appetite, etc.; generally occur in the daytime, the symptoms are aggravated after standing for a long time, the upper right abdomen is tender, and there is mild protective muscle rigidity. basic knowledge The proportion of illness: 0.001% Susceptible people: no specific population Mode of infection: non-infectious Complications: intestinal obstruction, indigestion

Cause

The cause of gallbladder-colonal hepatic adhesion syndrome

Due to the adhesion of the bottom of the gallbladder to the hepatic curvature of the large intestine, the large intestine forms an acute angle, and the contents of the intestine pass through difficulties, resulting in the accumulation of gas in the large intestine. Although the gallbladder can be normally filled, concentrated and evacuated, when the large intestine exerts gravity traction on the gallbladder, It can cause a series of clinical symptoms.

Prevention

Gallbladder-colonal hepatic duct adhesion syndrome prevention

Avoid eating greasy, fried, spicy foods, not overeating or starvation. This uneven eating habit can cause abnormal secretion of digestive juices, leading to imbalance of liver function. Eat more fresh seasonal fruits and green foods is the best choice for liver protection and liver management. For fresh vegetables, you can eat raw food or soup, exchange food daily, vegetables should not be fried for too long. If the liver is too strong, you should eat more foods that have the effect of relieving liver, such as fresh celery porridge or twisted juice, chrysanthemum on behalf of tea, etc.; liver blood deficiency often feel dizzy, witnessed, fatigue, can eat longan Porridge, broiled chicken soup, pork liver, etc. Spring liver stagnation, easy to affect the spleen and stomach, should eat some sweet and sweet food dishes, such as glutinous rice porridge, cabbage, jujube and so on.

Complication

Complications of gallbladder-colonal hepatic syndrome Complications, intestinal obstruction, indigestion

1. Intestinal obstruction: The main clinical symptoms of intestinal obstruction are abdominal pain, vomiting, bloating, and stopping the exhaustion and defecation. There are also disorders of water, electrolytes and acid-base balance. In the case of strangulated obstruction and intestinal necrosis, shock, peritonitis and gastrointestinal bleeding may occur. Intestinal obstruction is a great hazard, and the condition is dangerous and has a high mortality rate. The primary disease must be actively treated to reduce the occurrence of this complication.

2. Indigestion: Gallbladder-colonal hepatic dysplasia syndrome can cause stomach dysmotility, early satiety, bloating, and hernia are common symptoms. Early satiety means fullness but shortness after eating. The letter food is significantly reduced. Upper abdominal distension occurs after a meal or is aggravated after a continuous meal. Early fullness and upper abdominal distension are accompanied by suffocation.

Symptom

Gallbladder-colonal hepatic syndrome syndrome symptoms Common symptoms Abdominal muscle nausea right upper quadrant pain Loss of appetite Abdominal tenderness Gallbladder volume shrinks gallbladder wall fibrosis

When the clinical manifestations are erect, there are symptoms such as dull pain in the upper abdomen or right upper abdomen, nausea, loss of appetite, etc.; generally occur in the daytime, the symptoms are aggravated after standing for a long time, the upper right abdomen is tender, and there is mild protective muscle rigidity.

Examine

Examination of gallbladder-colonal hepatic adhesion syndrome

1. tincture colorectal angiography.

2. Gallbladder angiography: The function of the gallbladder is normal, but the gas shadow of the large intestine hepatic curvature is connected or adjacent to the bottom of the gallbladder. If the sputum colorectal angiography is performed at the same time, the lesion can be displayed.

Diagnosis

Diagnosis and differential diagnosis of gallbladder-colonal hepatic syndrome

Can be diagnosed based on clinical performance and laboratory tests.

Should be differentiated from chronic cholecystitis, large intestine hepatic syndrome, cholelithiasis and other differential diagnosis.

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