Difference between revisions of "Gallstone pancreatitis"
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The treatment is cholecystectomy to avoid recurrence.<ref name=pmid23181667>{{Cite journal | last1 = Bouwense | first1 = SA. | last2 = Besselink | first2 = MG. | last3 = van Brunschot | first3 = S. | last4 = Bakker | first4 = OJ. | last5 = van Santvoort | first5 = HC. | last6 = Schepers | first6 = NJ. | last7 = Boermeester | first7 = MA. | last8 = Bollen | first8 = TL. | last9 = Bosscha | first9 = K. | title = Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial. | journal = Trials | volume = 13 | issue = | pages = 225 | month = | year = 2012 | doi = 10.1186/1745-6215-13-225 | PMID = 23181667 }}</ref><ref name=pmid22470079>{{Cite journal | last1 = van Baal | first1 = MC. | last2 = Besselink | first2 = MG. | last3 = Bakker | first3 = OJ. | last4 = van Santvoort | first4 = HC. | last5 = Schaapherder | first5 = AF. | last6 = Nieuwenhuijs | first6 = VB. | last7 = Gooszen | first7 = HG. | last8 = van Ramshorst | first8 = B. | last9 = Boerma | first9 = D. | title = Timing of cholecystectomy after mild biliary pancreatitis: a systematic review. | journal = Ann Surg | volume = 255 | issue = 5 | pages = 860-6 | month = May | year = 2012 | doi = 10.1097/SLA.0b013e3182507646 | PMID = 22470079 }}</ref> | The treatment is cholecystectomy to avoid recurrence.<ref name=pmid23181667>{{Cite journal | last1 = Bouwense | first1 = SA. | last2 = Besselink | first2 = MG. | last3 = van Brunschot | first3 = S. | last4 = Bakker | first4 = OJ. | last5 = van Santvoort | first5 = HC. | last6 = Schepers | first6 = NJ. | last7 = Boermeester | first7 = MA. | last8 = Bollen | first8 = TL. | last9 = Bosscha | first9 = K. | title = Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial. | journal = Trials | volume = 13 | issue = | pages = 225 | month = | year = 2012 | doi = 10.1186/1745-6215-13-225 | PMID = 23181667 }}</ref><ref name=pmid22470079>{{Cite journal | last1 = van Baal | first1 = MC. | last2 = Besselink | first2 = MG. | last3 = Bakker | first3 = OJ. | last4 = van Santvoort | first4 = HC. | last5 = Schaapherder | first5 = AF. | last6 = Nieuwenhuijs | first6 = VB. | last7 = Gooszen | first7 = HG. | last8 = van Ramshorst | first8 = B. | last9 = Boerma | first9 = D. | title = Timing of cholecystectomy after mild biliary pancreatitis: a systematic review. | journal = Ann Surg | volume = 255 | issue = 5 | pages = 860-6 | month = May | year = 2012 | doi = 10.1097/SLA.0b013e3182507646 | PMID = 22470079 }}</ref> | ||
==Microscopic== | ==Microscopic== | ||
===Pancreas=== | |||
:See ''[[pancreatitis]]''. | |||
===Gallbladder=== | ===Gallbladder=== | ||
Features:<ref name=pmid7726728>{{Cite journal | last1 = Chitkara | first1 = YK. | title = Pathology of the gallbladder in gallstone pancreatitis. | journal = Arch Pathol Lab Med | volume = 119 | issue = 4 | pages = 355-9 | month = Apr | year = 1995 | doi = | PMID = 7726728 }}</ref> | Features:<ref name=pmid7726728>{{Cite journal | last1 = Chitkara | first1 = YK. | title = Pathology of the gallbladder in gallstone pancreatitis. | journal = Arch Pathol Lab Med | volume = 119 | issue = 4 | pages = 355-9 | month = Apr | year = 1995 | doi = | PMID = 7726728 }}</ref> | ||
*Aggregates of intraepithelial neutrophils ~ 60% of cases. | *Aggregates of intraepithelial neutrophils ~ 60% of cases. | ||
*Findings of chronic cholecystitis ~ 30% of cases. | *Findings of [[chronic cholecystitis]] ~ 30% of cases. | ||
*Findings of acute cholecystitis ~ 10% of cases. | *Findings of [[acute cholecystitis]] ~ 10% of cases. | ||
==Sign out== | |||
===Gallbladder=== | |||
<pre> | |||
GALLBLADDER, CHOLECYSTECTOMY: | |||
- CHOLELITHIASIS. | |||
- MILD CHRONIC CHOLECYSTITIS. | |||
</pre> | |||
<pre> | |||
GALLBLADDER, CHOLECYSTECTOMY: | |||
- GALLBLADDER WITH AGGREGATES OF INTRAEPITHELIAL NEUTROPHILS. | |||
- CHOLELITHIASIS. | |||
- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY. | |||
</pre> | |||
<pre> | |||
: | GALLBLADDER, CHOLECYSTECTOMY: | ||
- GALLBLADDER WALL WITH MINIMAL CHRONIC INFLAMMATORY CELLS AND CHOLESTEROLOSIS. | |||
- CHOLELITHIASIS. | |||
- ONE BENIGN LYMPH NODE. | |||
</pre> | |||
==See also== | ==See also== | ||
Latest revision as of 16:18, 14 March 2014
Gallstone pancreatitis is generally a clinical diagnosis. It may be seen in the context of autopsy.
General
The treatment is cholecystectomy to avoid recurrence.[1][2]
Microscopic
Pancreas
- See pancreatitis.
Gallbladder
Features:[3]
- Aggregates of intraepithelial neutrophils ~ 60% of cases.
- Findings of chronic cholecystitis ~ 30% of cases.
- Findings of acute cholecystitis ~ 10% of cases.
Sign out
Gallbladder
GALLBLADDER, CHOLECYSTECTOMY: - CHOLELITHIASIS. - MILD CHRONIC CHOLECYSTITIS.
GALLBLADDER, CHOLECYSTECTOMY: - GALLBLADDER WITH AGGREGATES OF INTRAEPITHELIAL NEUTROPHILS. - CHOLELITHIASIS. - NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
GALLBLADDER, CHOLECYSTECTOMY: - GALLBLADDER WALL WITH MINIMAL CHRONIC INFLAMMATORY CELLS AND CHOLESTEROLOSIS. - CHOLELITHIASIS. - ONE BENIGN LYMPH NODE.
See also
References
- ↑ Bouwense, SA.; Besselink, MG.; van Brunschot, S.; Bakker, OJ.; van Santvoort, HC.; Schepers, NJ.; Boermeester, MA.; Bollen, TL. et al. (2012). "Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial.". Trials 13: 225. doi:10.1186/1745-6215-13-225. PMID 23181667.
- ↑ van Baal, MC.; Besselink, MG.; Bakker, OJ.; van Santvoort, HC.; Schaapherder, AF.; Nieuwenhuijs, VB.; Gooszen, HG.; van Ramshorst, B. et al. (May 2012). "Timing of cholecystectomy after mild biliary pancreatitis: a systematic review.". Ann Surg 255 (5): 860-6. doi:10.1097/SLA.0b013e3182507646. PMID 22470079.
- ↑ Chitkara, YK. (Apr 1995). "Pathology of the gallbladder in gallstone pancreatitis.". Arch Pathol Lab Med 119 (4): 355-9. PMID 7726728.