Crazy ‘big rock’ shocks doctors

This article is from: National Party Media Information Public Platform

Source: Three Gorges Evening News

3 years ago, living at home During a physical examination, Aunt Jiang from the urban area found a walnut-sized stone in her gallbladder. Unexpectedly, the stone “grown” several times, and the doctors in the general surgery department of Yichang Changhang Hospital called it “very rare”. After laparoscopic surgery, Aunt Jiang recovered and was discharged from the hospital on April 6.

The doctor reminds that more than half of the patients with gallstones have no obvious symptoms such as abdominal pain, but they must be checked regularly. If the gallstones gradually increase or the number gradually increases, timely treatment is recommended.

It took 3 years for walnuts to grow into big duck eggs

Aunt Jiang is 68 years old. There was a walnut-sized stone about 3 cm directly in the gallbladder, accompanied by a left hepatic cyst.

Because there has been no discomfort, Aunt Jiang did not take this “little stone” to heart and did not take any treatment. For the past three years, Aunt Jiang has undergone regular physical examinations every year, and listened to the doctor’s report on the size of the stones: about 6 cm, about 8 cm, and up to about 10 cm this year. Looking at the results of the B-ultrasound, the doctor strongly suggested that Aunt Jiang should not delay any longer and must go for surgery. Only then did Aunt Jiang take it seriously and came to the General Surgery Department of Changhang Hospital for medical treatment.

The color Doppler ultrasound showed that Aunt Jiang’s gallbladder was enlarged and thickened. It could not rule out that the gallbladder wall became porcelain or cancerous. The gallbladder cavity was the size of a large duck egg. Such a huge stone, the doctors of general surgery all call it “very rare”. The normal size of the human gallbladder is generally 6-8 cm. The huge stones in Aunt Jiang’s body have made the gallbladder lose its contractile function.

Cholelithiasis is often regarded as indigestion

After full preparation, the surgical team of the hospital’s director Liu Caiyuan performed laparoscopic cholecystectomy for Aunt Jiang and hepatic cyst deroofing. During the operation, the doctors found that the actual size of Aunt Jiang’s stone had exceeded 10 centimeters, and it was very hard, and the gallbladder wall had been porcelainized. The diameter of the laparoscopic skin poke hole is only 1 cm. With rich surgical experience and tacit cooperation, the doctors first broke about 80% of the stones and took them out little by little. In the end, because the remaining stones were too hard, the doctors had to enlarge the hole and take them out together with the gallbladder.

After the operation, Aunt Jiang recovered quickly and was able to get out of bed the next day. Fortunately, the pathological examination of the gallbladder was benign, only chronic cholecystitis with porcelain stoneware.

Aunt Jiang often suffers from nausea and nausea for many years, especially after eating heavy oil and meat food, she often feels sick to her stomach and even vomits, and all the reactions caused by gallstones are caused by Aunt Jiang. Mistaken for a bad stomach.

Zhang Ruizhou, director of the General Surgery Department of Changhang Hospital, said that clinically, at least 50% of patients with gallstones do not have abdominal pain symptoms, but have nausea, nausea, loss of appetite and other symptoms similar to indigestion, so they are often misunderstood. Think it’s a gastrointestinal problem.

Prevention of gallstones requires a regular and healthy diet

With the continuous improvement of people’s living standards, the incidence of gallstones has also increased. Zhang Ruizhou said that gallstones are related to personal constitution, and obesity, eating too much oil, and abnormal diet are important reasons.

Zhang Ruizhou said that many citizens eat abnormal three meals a day, and eat more and more high-calorie, high-fat, and high-sugar foods, which will increase the probability of stone formation. In addition, the water quality in Yichang area is relatively hard, and the taste of citizens is too salty, which is also one of the important factors for inducing gallstones. Because most patients with gallstones in the early stage are asymptomatic, many people do not even know that they have developed gallstones, so they continue to live unreasonably. Occasionally there is a dull pain in the upper right abdomen, which is often mistaken for a stomach problem and does not seek medical attention in time.

The most important thing to prevent gallstones is to maintain a healthy diet, control your weight, and avoid overeating and excess fat intake. Eat on time and in portions, and reduce your intake of low-cholesterol, low-fat, and high-fiber foods. At the same time, exercise properly and avoid sitting for long periods of time. In addition, the public should also pay attention to regular physical examination, so as to achieve early detection and early treatment.

(Sanxia Evening News reporter Ouyang Hui, correspondent Yang Lili)

This article is from [Sanxia Evening News] and represents the author’s point of view only. The national party media information public platform provides information release and dissemination services.

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