few days ago in the first floor it was a patient that said that:Hi doctor! I'm
Lola Hernandez, I'm 36 years old and I am slightly overweight . Last
weekend, after a family meal, I experienced gradual abdominal pain in the right
upper quadrant with irradiation to the back. After that I started to vomit and
it become more intense so I went to the hospital, Floridablanca Hospital,where
Murphy was detected positive. There was no fever and abdominal ultrasound
revealed a distented gallbladder with thickening and hyperemia of its wall,
lithiasis and dilated biliary tract. I really don't understand what I have so I
need your help. I hope you can help me.
CHOLELITHIASIS
My pacient has cholelithiasis that involves the presence of
gallstones, which are concretions that form in the biliary tract, usually in
the gallbladder. The
gallbladder is a pear-shaped, hollow structure located under the liver and on
the right side of the abdomen. Its primary function is to store and concentrate
bile, a yellow-brown digestive enzyme produced by the liver and it is part of
the biliary tract.
-The thing that causes the illness is her weight, she is overweight and this
is one the biggest risk factors, overweight can raise the cholesterol level and
also make it harder for the gallbladder to empty completely.
- The common
symptoms of cholelithiasis are:
Adominal pain (typically localized in the upper quadrant of the abdomen).
Abdominal swelling, distention or bloating.
Abdominal tenderness.
Clay-colored stools.
Fever and chills.
Loss of appetite.
Nausea with or wihout vomiting.
Pain that radiates from the abdomen to the right shoulder or back.
Yellowing of the skin and whites of the eyes (jaundice)
Abdominal swelling,distention or bloating.
High fever (higher than 101 degrees Fahrenteir)
Severe abdominal pain.
Abdominal swelling, distention or bloating.
Abdominal tenderness.
Clay-colored stools.
Fever and chills.
Loss of appetite.
Nausea with or wihout vomiting.
Pain that radiates from the abdomen to the right shoulder or back.
Yellowing of the skin and whites of the eyes (jaundice)
Abdominal swelling,distention or bloating.
High fever (higher than 101 degrees Fahrenteir)
Severe abdominal pain.
- Lola condition is very serious because she is overweight, she experienced
gradual abdominal pain in the right upper quadrant with irradiation to the
back, the pain continued with vomiting and became more intense so she went to
the hospital where distented gallbladder was revealed with thickening and
hyperemia of its wall and dilated biliary tract. She does not has fever.
- If you have recurrent episodes of cholelithiasis, the most common treatment
is surgery to remove the gallbladder. There are two methods: open
cholecystectomy, the whole organ is removed through a single incision and
laparoscopic technique , when the gallbladder is removed in pieces through
several smaller incisions. The second one is the most used because the
gallbladder is not an essential organ.
Other treatments is: Medication to disolve gallstones, it takes a long time, and gallstones may recur.
Other treatments is: Medication to disolve gallstones, it takes a long time, and gallstones may recur.
- If the pacients who have cholelithiasis don't follow the treatment serious
complications if gallstones lodge in the common bile duct, which is the large
duct formed where the major gallbladder bile duct.
