Empyema of the gall bladder: symptoms, diagnosis and treatment

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2018-03-19 08:40:47

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Many people don't know what functions in the body perform those or other bodies. Only when faced with violations in their work, we begin to understand how they really need. Any deviation will immediately affect the health of the person, his mood.

One of the important organs is the gallbladder. It constantly builds up a special secret that is required to complete the process of digestion. This authority is subject to various pathologies. Among all diseases deserves special attention empyema of the gall bladder. Clinic, diagnosis, treatment of this insidious pathology — these are just some of the issues for consideration which we will now turn.

Description of the disease

Under the empyema of the gall bladder is commonly understood acute inflammatory process that develops within that body. It is characterized by the gradual accumulation of purulent exudate. The disease is manifested by severe pain, fever, symptoms of intoxication. The development of the pathological process is possible in two ways. Inflammation moves from adjacent organs or is a consequence of exposure to infectious agents.

empyema of the gall bladder

Empyema of the gallbladder occurs in 5-15% of patients with acute cholecystitis. Ill mostly middle-aged ladies with severe signs of obesity. Empyema refers to a category of progressive disorders, so once identified require immediate hospitalization. In the absence of adequate treatment a high probability of death of the patient.

Stages of the occurrence patologiei

Empyema of the gallbladder develops gradually. Consider each of the stages of this process.

In a healthy organism, the liver actively secretes, which accumulates in the gallbladder. One part of it is excreted into the gut where it then participates in digestion. Other — reabsorbed by the bladder walls.

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As a result of the inflammatory process in the cavity of the body begins to produce purulent exudate. Rezorbiruetsa ability of its walls is lost. In the gallbladder gradually accumulate fluid. Inflammation of the serous forms very quickly turns into purulent. Concomitant obstruction of the common bile duct interferes with normal excretion of bile. Further stretching of the walls of the body may lead to tissue atrophy.

Dropsy and empyema of the gallbladder

These two diseases have a similar etiology and clinical picture. It is therefore advisable to consider them together.

Dropsy and empyema of the gallbladder are often the result of duct obstruction. This violation may cause the separated calculus or neoplasm. Unlike dropsy, development of empyema is always preceded by acute cholecystitis, i.e. inflammation.

With regard to the clinical picture, both of the disease is manifested by fever, discomfort in the right hypochondrium. Patients with a hydrocele also complain of constant vomiting of bile and intestinal colic.

Some doctors believe it is dropsy one of the underlying causes of empyema. However, there are other factors contributing to the development of the pathological process.

dropsy and empyema of the gall bladder

Other causes of empyema

As mentioned earlier, the disease often develops on the background of cholecystitis. Calculus clog the ducts and the result of this disorder is inflammation. The secret inside the gallbladder gradually accumulated. It is considered a favorable environment for the vital activity of pathogenic flora. The role of infectious agents may be Clostridium, Staphylococcus, Klebsiella and other microorganisms.

Another common cause of the disorder is a malignant tumor. If the tumor fails to remove from the bladder, the inflammatory process continues to progress. In this case the result is disappointing for the patient — tissue necrosis.

Doctors have identified a group of patients who are more inclined to the appearance of empyema of the gallbladder. It includes:

  • People with overweight;
  • Patients with diabetes;
  • Patients with various immunodeficiencies.

Determining the cause of the disease often helps to choose the tactics of treatment.

empyema of the gall bladder clinic diagnosis treatment

How to recognize the disease at an early stage?

Developing empyema gallbladder symptoms is similar to those typical of acute cholecystitis. Patients complain of discomfort in the area of the right hypochondrium, sharp increase in temperature. Sometimes the symptoms are complemented by strong chills.

Indirect signs of the disease include lack of appetite, excessive sweating and dry mouth. Pain in area of right hypochondrium are not permanent. They may get worse with deep breaths or coughing.

It is Worth noting that in diabetes and immunodeficiency disorders these symptoms are expressed less clearly. So sick, too late to seek medical help. No treatment is fraught with perforation of the bladder and sepsis. Concerning the development of these pathological States shows an even greater increase in temperature. There may also be confusion, reduction of blood pressure parameters.

empyema of the gall bladder symptoms

Patients with acute cholecystitis or a gallbladder tumors need special attention to their own health. The appearance of the above symptoms should immediately call a team of medical professionals. Only admission and competent treatment in such cases can save lives.

Medical examination

Empyema of the gall bladder detected on the basis of complaints of the patient, his medical history and test results. The patient should tell how long the symptoms under which conditions their intensity is growing, how it was treated previously. All important data for the doctor. Without this information it is impossible to select the appropriate treatment.

Mandatory for all patients assigned to the examination of the body. If you suspect a disease such as empyema of the gallbladder, the diagnosis includes the following activities:

  1. Blood work. The increase of white blood cells indicates an inflammatory process.
  2. Microbiological examination of blood. To determine the presence of infectious agents, their sensitivity to antibiotics.
  3. Biochemistry of blood. With this test you can evaluate the work of the liver. Increased activity of bilirubin indicates empyema.
  4. Ultrasound. In progressive inflammatory process of the gall bladder is usually enlarged, around it is possible to consider the accumulation of fluid.

Additionally the differential diagnosis of hydrops and empyema of gallbladder.

differential diagnosis of hydrops and empyema of the gallbladder

Recommended treatment

The Only treatment of empyema-the gallbladder removal. The operation is called "cholecystectomy". Before its implementation the patient is prescribed a course of antibiotics. Drug therapy helps to reduce symptoms, reduce the risk of postoperative complications.

In the initial stages of the inflammatory process using “Center”, and cephalosporins of the first generation. If it is complicated by sepsis or perforation of the gallbladder need to be more massive antibiotic therapy. Usually the patient is prescribed concurrent administration of three drugs: “Powder”, “Ampicillin” and “Metronidazole". The dosage and treatment regimen selected individually.

Cholecystectomy is performed or via a full abdominal incision, or laparoscopically. Which option to choose is decided by the doctor. After surgery when left in the past, empyema of the gall bladder, antibiotic treatment continue. The duration of therapy depends on how quickly the temperature and the blood will come to normal. Sometimes patients have to take medication even after discharge from the hospital.

empyema of the gall bladder treatment

Recipes of traditional healers

Only conservative medicine can help patients with empyema. Self-medication is often lethal or leads to the development of complications.

However, some medicinal plants used to combat one of the causes of the disease — cholecystitis. Healers are advised to pay attention to shit. The roots of this plant help many ailments. To eliminate the symptoms of cholecystitis it is necessary to prepare a decoction. Cup of materials have to pour a liter of hot water and leave in the container under the lid. Through the day the infusion need to strain. This medicine should be stored in the refrigerator, and to take in the form of heat in small portions.

Possible complications

Empyema of the gallbladder with the condition of its timely detection poses no threat to life. The greatest danger are the complications of the pathological process that in patients with this diagnosis are not uncommon.

Stretching and atrophy of the walls of the gallbladder can lead to perforation of the organ. Perforation is of two types: covered and complete. In the latter case, rapidly developing peritonitis. In contact with infectious agents in the bloodstream...


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AR: https://tostpost.com/ar/health/12308-empyema-of-the-gall-bladder-symptoms-diagnosis-and-treatment.html

BE: https://tostpost.com/be/zdaro-e/22075-empiema-zho-cevay-burbalk-prykmety-dyyagnostyka-lyachenne.html

DE: https://tostpost.com/de/gesundheit/22083-empyem-der-gallenblase-anzeichen-diagnose-und-behandlung.html

ES: https://tostpost.com/es/la-salud/22099-empiema-de-la-ves-cula-biliar-s-ntomas-diagn-stico-y-tratamiento-de-la.html

HI: https://tostpost.com/hi/health/12326-empyema.html

JA: https://tostpost.com/ja/health/12329-empyema.html

KK: https://tostpost.com/kk/densauly/22068-t-abyny-empiemasy-belg-ler-diagnostikasy-zh-ne-emdeu.html

PL: https://tostpost.com/pl/zdrowie/22019-ropniak-p-cherzyka-ciowego-objawy-diagnostyka-i-leczenie.html

PT: https://tostpost.com/pt/sa-de/22025-empiema-da-ves-cula-biliar-sintomas-diagn-stico-e-tratamento.html

TR: https://tostpost.com/tr/sa-l-k/22078-ampiyem-kesesi-belirtileri-tan-s-ve-tedavisi.html

UK: https://tostpost.com/uk/zdorov-ya/22050-emp-ma-zhovchnogo-m-hura-oznaki-d-agnostika-l-kuvannya.html

ZH: https://tostpost.com/zh/health/13098-empyema-of-the-gall-bladder-symptoms-diagnosis-and-treatment.html






Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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