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Diseases of the liver and biliary tract

Biliary peritonitis: causes, symptoms, diagnosis, treatment

After cholecystectomy, the bile may leak from the bed of the bladder or the leaky bandaged vesicle duct. Increased pressure in the biliary tract, for example, in connection with the undeveloped stone of the common bile duct, increases the flow of bile, the accumulation of which around the biliary tract contributes to the development of their stricture.

Common bile duct stones (choledocholithiasis): causes, symptoms, diagnosis, treatment

In most cases, the stones of the common bile duct migrate from the gallbladder and are combined with calculous cholecystitis. The process of migration depends on the ratio of the size of the stone and the clearance of the gallbladder and common bile ducts. The increase in the size of the stone in the common bile duct causes obturation of the latter and promotes the migration of new stones from the gall bladder.

Chronic calculous cholecystitis

Chronic calculous cholecystitis is the most common disease of the gallbladder and is characterized by an almost constant combination of chronic cholecystitis and stones.

Chronic cholecystitis: symptoms

Chronic galloping cholecystitis is a widespread disease that occurs in people of different ages, but still more often in middle-aged people - 40-60 years.

What causes chronic cholecystitis?

Bacterial infection is one of the most important etiological factors of chronic acalculous cholecystitis. Sources of infection can be diseases of the nasopharynx and paranasal sinuses (chronic tonsillitis, sinusitis); oral cavity (stomatitis, gingivitis, periodontitis); urinary system (cystitis, pyelonephritis); sexual system (prostatitis, urethritis); gynecological diseases (adnexitis, endometritis); infectious diseases of the intestine; viral liver damage.

Chronic cholecystitis

Chronic non-calculous (cholecystitis-free) is a chronic polyetiological inflammatory disease of the gallbladder, combined with motor-tonic disorders (dyskinesias) of the biliary tract and changes in the physicochemical properties and biochemical composition of bile (discholia). Duration of illness more than 6 months.

Acute galloping cholecystitis

Acute liverless cholecystitis accounts for about 5-10% of all cases of acute cholecystitis in adults and 30% in children. The most common predisposing factors are critical conditions, such as large-volume extraviral surgery, multiple injuries, extensive burns, recent childbirth, severe sepsis, mechanical ventilation and ventilation, and parenteral nutrition.

Acute cholecystitis: treatment

Acute cholecystitis is always an indication for a surgeon's advice. When an acute cholecystitis occurs against a background of severe pathology, the patient is observed by specialists of the appropriate profile.

Acute cholecystitis: diagnosis

The diagnosis of acute cholecystitis should be suspected in the presence of typical pains (colic colic) in combination with the results of physical, laboratory and instrumental methods of examination (ultrasound, PHAGS, X-ray study).

What provokes acute cholecystitis?

Bezkamenny cholecystitis can be triggered by large surgical interventions, multiple injuries, extensive burns, recent childbirth, sepsis, salmonellosis, prolonged starvation, complete parenteral nutrition.

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