Electricpete is correct. Internal pressure can affect the pipe bend or elbow in 2 ways. The Bourdon effect describes the tendency for the pipe bend to "open" under internal pressure and "close" under external pressure. The reason is as described by Electricpete. The other effect is the "stiffening" of pipe bends and elbows as internal pressure is increased. The stiffening results from the internal pressure resisting the "ovalization" of the cross section that normally occurs when a bending moment is applied to the bend. One or both of these effects can occur in large diameter pipe with large D/t ratios. Reference B31.3, Appendix D, Table D300 and note (7). If you have piping systems of moderate diameter but are designing to B31.3, Chapter IX (high pressure - Class 2500 or higher) you will want to consider these effects. Good pipe stress computer programs (e.g., Caesar II) will give you the option of "toggling" these effects off or on.
Regards, John.