What types of deformations are there?
The gallbladder is a hollow, pear-shaped muscular organ, and its outline depends on the degree of filling, body position and neighboring organs. Doctors distinguish between congenital and acquired changes in shape, as well as stable and labile deformities that disappear when changing posture.
- Bend in the neck or body area
- Constriction - narrowing in one or more areas
- S-shape and multiple bends
- Labile deformity - changes when turning, standing up, after eating
- Fixed deformity - after inflammation, adhesions
Reasons
Most kinks are congenital and are associated with the developmental features of the organ. Acquired deformities occur when internal organs prolapse, bladder stretching, after cholecystitis and adhesions, as well as in older people due to age-related changes in the muscle wall.
- Innate form feature
- Prolapse of abdominal organs
- Chronic cholecystitis and adhesions
- Gallstone disease
- Age-related decrease in wall tone
Are there symptoms?
An isolated inflection of the gallbladder usually does not manifest itself in any way. If a person complains of abdominal pain, nausea or bitterness, their cause, as a rule, is not deformation, but other conditions - functional dyspepsia, stones, gastritis, irritable bowel syndrome. Therefore, doctors consider the bend as a find and look for the real cause of the complaints.
- More often - no complaints
- Sometimes - heaviness in the right hypochondrium after a heavy meal
- Nausea, bitter taste in the mouth - usually associated with other reasons
- In children - abdominal pain, often functional
Diagnostics
Ultrasound is performed strictly on an empty stomach, since after eating the bladder contracts and may look deformed. The doctor evaluates the shape of the bladder in different positions of the body, the thickness of the wall, the presence of stones, sediment and polyps. If there are complaints, an additional ultrasound with a test breakfast to assess contractility, blood tests and, if necessary, gastroscopy are performed.
- Ultrasound of the liver and gallbladder on an empty stomach
- Examination in lying and standing positions
- Ultrasound with determination of contractile function
- Biochemical blood test
- Gastroscopy according to indications
Treatment and recommendations
If the bend is discovered by chance and there are no complaints, no treatment, special diet, choleretic drugs and repeated ultrasounds “for control” are required. If symptoms are present, the identified cause is treated: functional disorder, stones, inflammation. Regular nutrition and an active lifestyle support normal gallbladder function. Surgery for the bend is not performed - the indications for removing the bladder are stones, polyps of a certain size, or inflammation.
- Eat regularly, 4–5 times a day
- Don't overeat or starve
- Stay physically active
- Do not take choleretic drugs without a doctor's prescription
- Consult a doctor if pain occurs