Lymph node-biliary syndrome
Introduction
Introduction to lymph node-biliary syndrome The lymphatic-biliary syndrome (Ganglic-Biliary Syndrome) is caused by hepatic hilar lymphadenopathy and compression of the common bile duct. There have been a few reports in China since 1980, and the intrinsic is also called Derincentis syndrome. The lymphoid tissue of the liver pedicle is connected to the mesenteric lymphatic system, and the mesenteric lymph nodes are often accompanied by hilar lymphadenitis. Therefore, the lymphatic-biliary syndrome may be the same disease as mesenteric lymphadenitis. basic knowledge The proportion of illness: the incidence rate is about 0.001% - 0.0025% Susceptible people: no special people Mode of infection: non-infectious Complications: cholecystitis, cholelithiasis
Cause
Lymph node-cause syndrome
The pathogenesis may be due to anterior biliary lymphadenopathy, persistent retreat, compression of the common bile duct and clinical symptoms.
Prevention
Lymph node-biliary syndrome prevention
After the diagnosis, swollen lymph nodes should be removed. If there are no complications such as cholecystitis or cholelithiasis, there is no need to remove the gallbladder. Early detection and early treatment.
Complication
Lymph node-biliary syndrome complications Complications cholecystitis cholelithiasis
Can be complicated by cholecystitis or cholelithiasis.
Symptom
Lymph node-biliary syndrome symptoms Common symptoms Nausea and abdominal pain, fever and jaundice fever accompanied by abdominal pain,... Abdominal pain, jaundice, chills and nervousness
It is characterized by recurrent episodes of paroxysmal pain in the upper abdomen, sometimes accompanied by nausea, vomiting, chills, fever, jaundice, signs of tenderness under the xiphoid and right upper abdomen, rebound tenderness and muscle tension, Murphy sign positive, gallbladder area may touch A lump, like acute cholecystitis.
Examine
Lymph node-biliary syndrome examination
Physical examination, B-mode ultrasound examination is sometimes difficult to distinguish, and a laparotomy is needed to confirm the diagnosis.
Diagnosis
Diagnosis and identification of lymph node-biliary syndrome
diagnosis
Intrinsic clinical diagnosis is more difficult, such as frequent, severe biliary colic, different degrees of obstructive jaundice should be considered intrinsic, and acute cholecystitis cholelithiasis is difficult to identify, B-mode ultrasound is sometimes difficult to distinguish, need laparotomy Confirmed diagnosis.
Differential diagnosis
Identification with emphysema cholecystitis, gallbladder perforation, gallbladder intestinal obstruction and other diseases.
