The man insisted on keeping the gallbladder full of stones until the stones were embedded in the neck of the cyst and "suffocated" the gallbladder, causing oozing and peritonitis, and the abdomen was clearly visible The outline of the huge gallbladder was visible, and the pain was unbearable before seeking medical attention. The doctor said: If you are too late, I am afraid that it will cause perforation, abdominal infection, and even death!
Recalling the course of his illness, Mr. Zhao, a 59-year-old man, still has palpitations. It turned out that more than ten years ago, Mr. Zhao underwent gastric resection for duodenal bulb lesions, and after the operation, he was left with common complications such as intestinal adhesions, gallbladder muscle contraction, and indigestion. In recent years, as the abdominal distension and discomfort in the upper abdomen became more frequent, and multiple gallstones were found in the physical examination, doctors advised him to have surgery to remove the gallbladder as soon as possible. It wasn't until a week ago, in the early hours of the morning, that he woke up with abdominal pain, and after sufficient rest and medication, he did not see obvious improvement, but also had severe vomiting after eating, and a foreign body sensation in the right lower abdomen.
After completing the detailed physical examination, combined with the clinical manifestations and necessary examinations, the chief physician Qu Bo, the receiving expert, found that the patient, Mr. Zhao, had aggravated the pain of deep breathing, his abdominal muscles were tense, and the contour of the huge gallbladder with a maximum diameter of 15 cm was palpable on the right side of the abdomen, and the lower edge of the gallbladder had reached the plane of 2 cm below the umbilicus, showing typical positive characteristics of gallbladder tenderness. Mr. Zhao was immediately diagnosed with stones embedded in the neck of the gallbladder, resulting in obstruction of the bile drainage pathway, increased gallbladder pressure, resulting in acute gallbladder enlargement and perigallbladder exudation, resulting in gallstones with acute cholecystitis and localized peritonitis. In order to prevent the condition from further aggravating and causing septic shock to be life-threatening, Zeng Xiang, director of the department, believes that it is imperative to perform surgery as soon as possible to remove the stone and decompression, and completely remove the gallbladder.
Why do gallstones have to be removed from the gallbladder?Combined with the medical history and the course of the disease, Zeng Xiang clearly told Mr. Zhao's family: The gallbladder cannot be retained!At the same time, he patiently explained that although the pain was acute, the course of the disease was not achieved overnight. Patients like Mr. Zhao who have undergone gastrointestinal diversion surgery in the past will inevitably have their gallbladder contraction and bile excretion function affected, which may lead to the formation of stones and health risks. The presence of gallstones not only rubs the gallbladder wall repeatedly, leading to the onset of gallbladder inflammation and forming chronic gallbladder inflammation;Once the stone obstructs the cystic duct, common bile duct or the outlet of the pancreatic duct, it may also cause gallbladder suppuration, gangrene, perforation, acute obstructive purulent cholangitis, biliary pancreatitis, and even gallbladder atrophy and gallbladder cancer.
After listening to the doctor's detailed explanation, Mr. Zhao's family, who fully weighed the pros and cons, finally approved the surgical plan. Under the organization of Zeng Xiang, surgeons Qu Bo and Guo Dunwei skillfully performed intestinal adhesion release for the patient, successfully completed gallbladder puncture and decompression, and successfully performed laparoscopic cholecystectomy. After the operation, Mr. Zhao's abdominal pain was significantly relieved and he was able to get out of bed the next day. After 5 days of careful medical care, his abdominal microtrauma healed well, and the relevant indicators were basically normal, and he was about to be discharged.
Gallstones can be prevented and treated, and there are traces to follow. Zeng Xiang said that if normal people have distension and pain in the right upper abdomen after a full meal or eating greasy food, paroxysmal colic discomfort, or radiating pain in the right shoulder and back, they need to be alert to the possibility of gallstone attacks. In addition to standardized physical examination and regular reexamination, people with underlying gallbladder diseases must seek medical attention as soon as possible once the course of the disease progresses to nausea, vomiting, chills, and high fever, and if necessary, follow the doctor's instructions to remove the gallbladder to prevent it.
Reporter: Luo Bing Correspondent: Zhou Shan.
Editor: Wang Jian.
Editor-in-charge: Summer.
Editor: Wang Jun.