Acute cholecystitis in pregnancy?

summary

The gallbladder is located in the right upper abdomen and the right lobe of the liver. Gallbladder has the function of storing bile and concentrating bile. If excess bile accumulates in gallbladder, it can stimulate gallbladder mucosa and cause inflammation. What is pregnancy complicated with acute cholecystitis? Pregnancy complicated with acute cholecystitis refers to women's pregnancy, hormone changes in the body, cholestasis in the gallbladder to form stones, stones infarction gallbladder mucosa and sudden inflammation. Does that pregnancy merge acute cholecystitis symptom?

Acute cholecystitis in pregnancy?

Pain: This is the main symptom. In the early stage of the disease, the pain was mainly located in the upper abdomen, and the degree of pain was relatively light, showing persistent pain; In the late stage of the disease, the pain site turned to the right upper abdomen, and the degree of pain gradually increased, showing paroxysmal persistent pain. There are also many pregnant women pain parts will radiate to the right shoulder back, right waist. If pregnant women also have cholelithiasis, the pain is more severe. If the degree of pain deepens, pregnant women's breathing can be inhibited, showing shallow and fast.

Nausea, vomiting: this situation occurs in about half of pregnant women, about a third of cases of vomiting. Vomiting is mainly due to dilatation of the common bile duct. If vomiting is severe, the presence of cystic duct or common bile duct stones should be considered.

Fever: pregnant women are mainly low fever, the temperature is generally 38 ~ 39 ℃, and the degree of fever is related to the range and severity of inflammation. The symptoms of high fever are rare, and many pregnant women still have shivering symptoms. Jaundice: about 25% of patients with jaundice (yellow skin). Shock may occur in severe infection.

matters needing attention

Considering the special situation of pregnant women, so compared with the general acute urinary cholecystitis pregnant women, pregnancy complicated with acute cholecystitis is mainly conservative treatment. We should control diet properly, relieve symptoms, give antibiotics that have no effect on fetus, prevent infection and eliminate complications. If conservative treatment doesn't work, surgical treatment should be considered.