Gallbladder wall roughness

Introduction The rough wall of the gallbladder is an image of cholecystitis. The gallbladder is pear-shaped and fits tightly in the gallbladder fossa below the liver. The volume is about 30-50 ml. The cystic duct is connected to the common bile duct. The gallbladder has the function of contracting and storing bile. Usually, the bile secreted by the liver first flows into the gallbladder, absorbs water through the mucous membrane, and concentrates the bile and stores it. The unconcentrated bile is golden yellow, and the concentrated bile is empty green.

Cause

Many diseases that cause this condition are hepatitis, typhoid and so on. As for the typical chronic cholecystitis, it is also judged according to your other clinical manifestations, the application of hormone or surgical treatment, less foods containing high cholesterol, such as animal internal organs, shrimps and crabs, etc., eat more fish, sparse dish. Properly eat a small amount of fatty foods, such as fat meat, eggs, etc., to stimulate the gallbladder contraction, empty the bile to prevent the formation of gallstones.

an examination

Related inspection

Gallbladder biliary tract B-ultrasound examination of gallbladder ultrasound

The gallbladder is a pear-shaped hollow organ located in the gallbladder fossa of the liver, divided into three parts: the bottom and the neck. The wall of the gallbladder is thin and smooth, with a normal wall thickness of 1--2 mm. Ultrasound examination of the gallbladder, no echo in the gallbladder cavity, enhanced echo in the posterior wall. The long diameter of the gallbladder is 6-8 cm, the transverse diameter is 4.0 cm±, and the wall thickness of the gallbladder exceeds 3.0 mm to thicken the gallbladder wall. Thickening of the gallbladder wall is common in cholecystitis, hepatitis, hypoproteinemia, heart failure, and ascites. The gallbladder wall can be thickened by 4.0mm--5.0mm after a normal person's meal.

Differential diagnosis

In acute type A jaundice hepatitis, the gallbladder wall is thickened and rough. The heavier the jaundice, the more obvious the change of the gallbladder wall. The patient has no symptoms and signs of gallbladder inflammation. As the condition of hepatitis improved, the gallbladder wall returned to normal.

In acute cholecystitis, the wall of the capsule is thickened to 4 mm, and the wall of the capsule is blurred. If the wall edema is significant, the wall thickness can reach 7.0mm, and double-layer echo can occur under B-ultrasound. In chronic cholecystitis, the gallbladder can be reduced, the wall of the capsule is evenly or unevenly thickened, and the wall of the capsule is rough, and calcification of the wall can occur.

Viral hepatitis causes changes in the ultrasound image of the gallbladder (Report of Chinese Journal of Infectious Diseases 89.3.174), 74 cases of viral hepatitis confirmed by liver biopsy, including 10 cases of acute mild hepatitis, 7 cases of gallbladder changes; 42 cases of slow-lived liver Of the 17 patients with gallbladder changes, 9 of the 20 patients with slow migration had gallbladder changes; 1 of the 2 patients with cirrhosis had gallbladder changes. Abnormal changes in the gallbladder include thickening of the gallbladder wall, enlargement of the gallbladder, development of the gallbladder, poor systolic function of the gallbladder, and a decrease in the volume of the gallbladder. The cause of gallbladder changes caused by viral hepatitis is unclear. Gallbladder changes have nothing to do with the severity of viral hepatitis, and have nothing to do with alanine aminotransferase, alkaline phosphatase, glutamyl transpeptidase, and have nothing to do with hepatitis typing. Three of them underwent duodenal drainage examination, and the gallbladder was normal, and biliary inflammation was excluded. There is a clear relationship with the white/ball ratio (hypoproteinemia).

Ultrasound examination of healthy people only found that the gallbladder wall was rough, the gallbladder wall was not thickened, there were no symptoms and signs of cholecystitis, no viral hepatitis, no fatty liver, no alcoholic liver. Only the gallbladder wall rough can not be diagnosed as cholecystitis, should be followed up regularly. In my clinical observation for nearly 20 years, only the gallbladder wall is rough and cannot be classified as a disease.

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