Gallbladder wall edema

Anger and emotional instability are direct factors that affect gallbladder health. For many patients with gallbladder diseases, doctors will advise them not to get angry and maintain an optimistic attitude, etc. This shows how important emotions are to gallbladder health. Some patients may find edema in their gallbladder, which indicates a tendency to cholecystitis. They should pay attention to protecting their gallbladder to avoid aggravating the condition.

Thickening of the gallbladder wall

What diseases should be considered when the gallbladder wall is thickened or edematous?

If examination reveals thickening or edema of the gallbladder wall, no gallstones, no upper abdominal pain, and routine blood tests are basically normal, the possibility of chronic hepatitis or cirrhosis should be considered first.

CT: Gallbladder enlargement, uneven density, and obvious thickening around the gallbladder wall

Why does chronic hepatitis or cirrhosis cause gallbladder wall thickening or edema?

1. Liver inflammation spreads to the surrounding bile ducts and affects the gallbladder.

2. Autoimmune liver disease and the immune complex of hepatitis virus antigens and antibodies damage the gallbladder.

3. As the plasma colloidal osmotic pressure decreases, water in the blood penetrates into the tissues, causing edema of the gallbladder wall.

Doctor Tomato reminds everyone that if the examination reveals thickening and edema of the gallbladder wall caused by the above three conditions, you should not use choleretic and anti-inflammatory drugs according to the treatment method for cholecystitis. The key to solving the problem is to treat the primary cause and correct hypoproteinemia.

B-ultrasound showed: gallstones in the gallbladder, thickening of the gallbladder wall, and enhanced echogenicity in the liver.

How to distinguish?

1. Observe whether there are gallstones. Because when the stones move in the gallbladder, they damage the mucosa and cause bacterial infection, which in turn leads to cholecystitis.

2. In acute cholecystitis, non-calculous cholecystitis accounts for only 2%-5% and is related to other organ failure and immune dysfunction. The clinical symptoms include radiating pain, nausea, vomiting, fever, and elevated white blood cell count in blood routine tests. In this case, a hepatobiliary surgeon is required to make a specific judgment.