Difference between revisions of "Talk:Gallbladder"
Jump to navigation
Jump to search
| Line 20: | Line 20: | ||
**Reactive epithelial changes. | **Reactive epithelial changes. | ||
**Several [[PMN]]s - 2x. | **Several [[PMN]]s - 2x. | ||
**Wall thickness > 3 mm (gross) - required for acute. | **Wall thickness > 3 mm (gross description or radiology) - 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 description or radiology) - required for acute.