Bile retention

Introduction Cholangiocarcinoma is the most common type due to inflammation, edema, scarring or obstruction of stones. The gallbladder lesions are milder, only the gallbladder wall is thickened, and the severe ones can be significantly hypertrophied, atrophied, the cystic cavity shrinks and the function is lost. When the cystic duct is blocked (calculus, etc.), bile is retained, bile pigment is absorbed, causing changes in bile composition, or due to disorder of cholesterol metabolism, and cholesterol is deposited on the inner wall of the gallbladder, causing chronic inflammation.

Cause

Cholangiocarcinoma is increased due to inflammation, edema, scarring or stone blockage. There are also infectious factors:

1. Infectious cholecystitis: the most common one. The gallbladder lesions are milder, only the gallbladder wall is thickened, and the severe ones can be significantly hypertrophied, atrophied, the cystic cavity shrinks and the function is lost.

2. Obstructive cholecystitis: When the cystic duct is obstructed (stones, etc.), bile retention, absorption of bile pigment, causing changes in bile composition, stimulate inflammation of the gallbladder.

3. Metabolic cholecystitis: due to the disorder of cholesterol metabolism, cholesterol is deposited on the inner wall of the gallbladder, causing chronic inflammation.

an examination

Related inspection

Cholangioscopic cholangiography

According to the gastroscope, the whole digestive tract is checked. Bloating, suffocating. The stomach feels full of swelling all day long. It feels bad after getting up in the morning and getting up in the morning. It is fasting on an empty stomach and after a meal. Sometimes you can get up in the morning and get up and feel comfortable after the gas is discharged.

Differential diagnosis

Differential diagnosis of bile retention:

1. Chronic superficial gastritis is one of the most common diseases of the digestive tract. The course of the disease is longer, recurrent, and unhealed.

2, the cause of retention of hepatic cyst is due to inflammation, edema, scar or stone obstruction caused by increased secretion, or bile retention, mostly single, but also due to liver blunt contusion, leading to the end of central rupture . The lesion capsule is filled with blood or bile, and the capsule is fibrous tissue, which is a single pseudocyst.

3, the cause of congenital hepatic cysts due to developmental disorders in the intrahepatic bile duct and lymphatic vessels, or cholangitis in the fetal period, small intrahepatic bile duct occlusion, proximal cystic enlargement and intrahepatic bile duct degeneration, local hyperplasia obstruction, More often.

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