Difference between revisions of "Talk:Gallbladder"
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| Line 14: | Line 14: | ||
**RK sinuses. | **RK sinuses. | ||
**Papillary hyperplasia. | **Papillary hyperplasia. | ||
**Cholesterolosis. | **Cholesterolosis (multiple foci) - 2x. | ||
*Favour acute: | *Favour acute: | ||
**Gallstone in neck. | **Gallstone in neck (gross description or radiology). | ||
**Edema. | **Edema. | ||
**Reactive epithelial changes. | **Reactive epithelial changes. | ||
**Several [[PMN]]s. | **Several [[PMN]]s - 2x. | ||
**Wall thickness > 3 mm (gross) - required for acute. | **Wall thickness > 3 mm (gross) - required for acute. | ||
Revision as of 08:15, 31 July 2013
Cholecystitis & cholelithiasis
Microscopic description
A. The section shows gallbladder wall with a minimal superficial lymphocytic infiltrate. No Rokitansky-Aschoff sinuses are identified. There is no cholesterolosis, no dysplasia and no metaplasia.
Final diagnosis
A. Gallbladder, cholecystectomy: i) minimal chronic cholecystitis ii) cholelithiasis
Acute cholecystitis versus chronic cholecystitis
- Clinical impression.
- Favour chronic:
- Age - 40s or less.
- RK sinuses.
- Papillary hyperplasia.
- Cholesterolosis (multiple foci) - 2x.
- Favour acute:
- Gallstone in neck (gross description or radiology).
- Edema.
- Reactive epithelial changes.
- Several PMNs - 2x.
- Wall thickness > 3 mm (gross) - required for acute.