What to do if you have a cyst on your gallbladder

What to do if you have a cyst on your gallbladder

When a cyst is found on the egg during examination, many patients will be at a loss and become very nervous, worrying that the condition will be very serious. In general, cysts are benign diseases, and the growth rate of cysts is very slow. Just check them on time and observe the changes in the cysts. If the patient feels abdominal distension or radiating pain in the back, he should go to the hospital for treatment in time.

Treatment of gallbladder cysts

Fasting and gastrointestinal decompression can reduce the secretion of bile and pancreatic juice and relieve the pressure in the bile duct.

Antibiotics are used to control infection. Common bacteria in biliary tract infection are Gram-negative intestinal aerobic and anaerobic bacteria, mainly bacilli. Cephalosporins and metronidazole can be used as options.

For patients with obvious abdominal pain, anticholine drugs can be used to relieve spasms appropriately.

Severely ill patients with acute suppurative cholangitis, severe obstructive jaundice, and early liver failure can first undergo nasobiliary drainage via duodenoscope or percutaneous transhepatic bile duct drainage, and then choose surgical treatment after initial jaundice reduction and infection control.

Patients with elevated serum amylase levels should be treated as those with pancreatitis.

Actively prevent and treat shock, including blood transfusion and fluid replacement, correction of water, electrolyte and acid-base imbalance, and monitoring of vital signs.

Strengthen liver protection and nutritional support treatment. Supplement various fat-soluble vitamins (A, D, K, etc.) to maintain good nutritional status.

The dangers of gallbladder cyst

Gallbladder perforation. It usually occurs within 72 hours of the onset of acute cholecystitis, and is more common in patients who are experiencing it for the first time or have had fewer attacks. If the abdominal pain worsens, the gallbladder is significantly enlarged, there is a high fever and a significantly increased white blood cell count during the course of the disease, it is highly suggestive of perforation.

Gallbladder fistula. The most common type is gallbladder-duodenal fistula, and less common types include gallbladder-transverse colon, stomach, small intestine, and other internal fistulas. During acute cholecystitis, inflammation and adhesion occur between the gallbladder and adjacent organs, and gangrene and permeation occur in the gallbladder wall. It can cause vascular embolism and rupture with the adhered intestinal wall, leading to communication between the gallbladder and the intestinal cavity and the formation of an internal fistula.

The hazards of calculous cholecystitis. More than 90% of cholecystitis is secondary to gallstones, and a small number of cholecystitis cases do not have stones, which is called acalculous cholecystitis. Simple cholecystitis is not difficult to treat and has a good prognosis, but if it develops into gangrenous cholecystitis or complicated by common bile duct infection, especially in elderly patients, there is a certain risk of death. Therefore, severe cholecystitis can lead to death!