Difference between revisions of "Talk:Gallbladder"
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(→gallbladder adenomyosis: new section) |
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ii) cholelithiasis | ii) cholelithiasis | ||
== Acute | ==[[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 [[PMN]]s - 2x. | |||
**Wall thickness > 3 mm (gross description or radiology) - required for acute. | |||
== gallbladder adenomyosis == | |||
comet tail artifact | |||
Latest revision as of 20:04, 6 April 2023
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 description or radiology) - required for acute.
gallbladder adenomyosis
comet tail artifact