What are the symptoms of rough gallbladder wall?

Healthy gallbladder wall is mainly smooth, without obvious thickening. Rough gallbladder wall mainly indicates inflammation in gallbladder, which is more common in patients with acute cholecystitis, chronic cholecystitis and gallstones. Roughness of gallbladder wall is usually a descriptive term in imaging description, such as ultrasound, abdominal CT or abdominal MRI. It means that the gallbladder wall has lost its normal thin and smooth performance, but has uneven or uniform thickening and blurred boundary. The diagnosis is generally acute/chronic cholecystitis.

What are the clinical manifestations of rough gallbladder wall? In fact, it is a common manifestation of cholecystitis, such as pain in the right upper abdomen, radiation pain in the shoulder and back, nausea and vomiting.

The coarseness and thickening of gallbladder wall can directly reflect the period of gallbladder inflammation. In patients with acute cholecystitis, the gallbladder wall is rough and inflamed, and the gallbladder wall is obviously thickened, which will be accompanied by an overall increase in gallbladder volume. However, for patients with chronic cholecystitis, the roughness and thickening of gallbladder wall are lighter than those of acute cholecystitis.

Rough gallbladder wall is diagnosed by B-ultrasound, and most patients with rough gallbladder also have gallstones or gallbladder polyps, because after stones are formed in the gallbladder, it is easy to wear the gallbladder wall, and gallbladder polyps can also cause chronic inflammation of the gallbladder wall, making the gallbladder wall rough. Whether the gallbladder wall is rough or not needs to be judged according to the patient's comprehensive situation and clinical manifestations.

For patients with rough gallbladder and acute and chronic cholecystitis, we need to start from two aspects:

1: diet: avoid greasy food, such as fat meat, animal offal, fried food, etc. Because these foods will stimulate the contraction of gallbladder, lead to the movement of stones in gallbladder, lead to incarceration of gallstones, cause blood supply disorder of gallbladder wall, and thus cause symptoms of acute cholecystitis.

2. If you are a patient with chronic cholecystitis, you need to review the pathological changes of the gallbladder regularly to observe whether the thickening of the gallbladder wall is aggravated and whether there are multiple gallstones. Understand the degree of gallbladder lesions in time and grasp the surgical indications after cholecystectomy in time.