Biliary stone intestinal volvulus syndrome refers to recurrent inflammation of the biliary tract, adhesion with the adjacent duodenum, colon, stomach, and the biliary tract itself, impacted gallstones, obstruction, and pressure, secondary bacterial infection, etc., which increase the intrabiliary pressure, local blood circulation disorders, or necrosis, and perforation can溃烂 into the adherent organs to form fistulas. If there is a stone blocking the intestines, this condition can be caused. This syndrome is rare, accounting for 1% to 3% of mechanical small bowel obstruction.
1. What are the causes of biliary stone intestinal volvulus syndrome
Recurrent inflammation of the biliary tract, adhesion with the duodenum, colon, stomach, and the biliary tract itself, impacted gallstones, obstruction, and pressure, secondary bacterial infection, etc., increase the intrabiliary pressure, local blood circulation disorders, or necrosis, and perforation can溃烂 into the adherent organs to form fistulas. If there is a stone blocking the intestines, this condition can be caused.
2. Biliary stone intestinal volvulus syndrome is prone to cause what complications
Biliary colic intestinal strangulation syndrome is an emergency that requires early diagnosis and treatment. The diagnosis of this syndrome lies in raising vigilance. For middle-aged and elderly women with obesity, when acute non-strangulating intestinal obstruction occurs, this disease should be considered. If not treated in time, the disease may lead to complications such as biliary inflammation, bile stone impaction, obstruction and compression, secondary bacterial infection, and acute non-strangulating intestinal obstruction.
3. What typical symptoms does biliary colic intestinal strangulation syndrome have
The main manifestations of biliary colic intestinal strangulation syndrome are persistent pain in the upper abdomen, which may be accompanied by periodic exacerbation, fever, chills, and frequent vomiting. The vomit is yellow or olive green liquid, which may also be coffee-like material. Signs: soft abdomen, obvious abdominal distension, Murphy's sign is often positive, and there may be muscle tension or rebound pain, significant increase in white blood cells.
4. How to prevent biliary colic intestinal strangulation syndrome
Biliary colic intestinal strangulation syndrome is mainly caused by recurrent inflammation of the bile duct, adhesion with adjacent duodenum, liver flexure of the colon, stomach, and self-adhesion of the bile duct, bile stone impaction, obstruction and compression, secondary bacterial infection, and other reasons. Therefore, preventing infection and inflammation is the basic measure for preventing this disease.
5. What laboratory tests need to be done for biliary colic intestinal strangulation syndrome
The diagnosis of biliary colic intestinal strangulation syndrome lies in raising vigilance. For middle-aged and elderly women with obesity, when acute non-strangulating intestinal obstruction occurs, this disease should be considered. Abdominal plain film should be taken, and attention should be paid to the tree-like or Y-shaped air accumulation in the porta hepatis, bile ducts, and other parts; barium meal examination or barium enema, barium can be seen to reflux into the bile duct sign; B-ultrasound or CT can make an early diagnosis.
7. Conventional methods of Western medicine for the treatment of biliary colic intestinal strangulation syndrome
Biliary colic intestinal strangulation syndrome is usually an emergency. Patients suffer from severe pain, mainly manifested as persistent pain in the upper abdomen, which may be accompanied by periodic exacerbation of fever, chills, and frequent vomiting. The vomit is yellow or olive green liquid, which may also be coffee-like material. Abdomen is soft, and abdominal distension is obvious. This disease is mainly treated by surgery to remove the symptoms of intestinal obstruction.
