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Difference between revisions of "Acute cholecystitis"
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| Micro = edema, hemorrhage, +/-neutrophils, +/-reactive epithelial changes | | Micro = edema, hemorrhage, +/-neutrophils, +/-reactive epithelial changes | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = [[chronic cholecystitis]], [[intestinal metaplasia of the gallbladder]], [[gallbladder dysplasia]], [[adenocarcinoma of the gallbladder]] | | LMDDx = [[chronic cholecystitis]], [[intestinal metaplasia of the gallbladder]], [[gallbladder dysplasia]], [[adenocarcinoma of the gallbladder]]. [[eosinophilic cholecystitis]] | ||
| Stains = | | Stains = | ||
| IHC = | | IHC = | ||
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| IF = | | IF = | ||
| Gross = wall thickening (due to edema), gallstone(s) in the neck (classic finding), +/-mucosal erosions | | Gross = wall thickening (due to edema), gallstone(s) in the neck (classic finding), +/-mucosal erosions | ||
| Grossing = | | Grossing = [[gallbladder grossing]] | ||
| Site = [[gallbladder]] | | Site = [[gallbladder]] | ||
| Assdx = [[cholelithiasis]] | | Assdx = [[cholelithiasis]] | ||
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*Less common than ''chronic cholecystitis''. | *Less common than ''chronic cholecystitis''. | ||
*Usually due to gallstones.<ref name=Ref_Sternberg5_1606>{{Ref Sternberg5|1606}}</ref> | *Usually due to gallstones.<ref name=Ref_Sternberg5_1606>{{Ref Sternberg5|1606}}</ref> | ||
*Classically older individuals (50s and 60s) with a slight female predominance.<ref name=Ref_Sternberg5_1606>{{Sternberg5|1606}}</ref> | *Classically older individuals (50s and 60s) with a slight female predominance.<ref name=Ref_Sternberg5_1606>{{Ref Sternberg5|1606}}</ref> | ||
Notes: | Notes: | ||
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*[[Gallbladder adenocarcinoma]]. | *[[Gallbladder adenocarcinoma]]. | ||
*[[Intestinal metaplasia of the gallbladder]]. | *[[Intestinal metaplasia of the gallbladder]]. | ||
*[[Eosinophilic cholecystitis]] - has >90% eosinophils. | |||
===Images=== | ===Images=== | ||
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==Sign out== | ==Sign out== | ||
<pre> | |||
Gallbladder, Cholecystectomy: | |||
- Acute cholecystitis with cholelithiasis. | |||
</pre> | |||
=====Block letters===== | |||
<pre> | <pre> | ||
GALLBLADDER, CHOLECYSTECTOMY: | GALLBLADDER, CHOLECYSTECTOMY: | ||
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====Necrosis of wall==== | ====Necrosis of wall==== | ||
<pre> | |||
Gallbladder, Cholecystectomy: | |||
- Acute cholecystitis with multiple mucosal erosions and focal necrosis of the gallbladder wall. | |||
</pre> | |||
<pre> | <pre> | ||
GALLBLADDER, CHOLECYSTECTOMY: | GALLBLADDER, CHOLECYSTECTOMY: | ||
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- GANGRENOUS CHOLECYSTITIS. | - GANGRENOUS CHOLECYSTITIS. | ||
- CHOLELITHIASIS. | - CHOLELITHIASIS. | ||
</pre> | |||
<pre> | |||
Gallbladder, Cholecystectomy: | |||
- Gangrenous (acute) cholecystitis with cholelithiasis. | |||
</pre> | </pre> | ||