Difference between revisions of "Talk:Gallbladder"
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| Line 11: | Line 11: | ||
*Clinical impression. | *Clinical impression. | ||
*Favour chronic: | *Favour chronic: | ||
**40s or less. | **Age - 40s or less. | ||
**RK sinuses. | **RK sinuses. | ||
**Papillary hyperplasia. | **Papillary hyperplasia. | ||
Revision as of 07:58, 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.
- Favour acute:
- Gallstone in neck.
- Edema.
- Reactive epithelial changes.
- Several PMNs.
- Wall thickness > 3 mm (gross) - required for acute.