Difference between revisions of "Gallbladder grossing"
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==Introduction== | ==Introduction== | ||
These specimens are very common and could be classified as a [[ditzel]]. | These specimens are very common and could be classified as a [[ditzel]]. | ||
Cholecystectomies are usually done for: | |||
*[[Chronic cholecystitis]] (increasingly common due to prevalence of [[obesity]]). | |||
Less common indications are: | |||
*[[Acute cholecystitis]]. | |||
*[[Gallstones]] - as it may cause [[gallstone pancreatitis]]. | |||
*[[Mirizzi syndrome]].<ref name=pmid7914773>{{Cite journal | last1 = Hsu | first1 = YB. | last2 = Yu | first2 = SC. | last3 = Lee | first3 = PH. | last4 = Wei | first4 = TC. | title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. | journal = J Formos Med Assoc | volume = 93 | issue = 4 | pages = 314-9 | month = Apr | year = 1994 | doi = | PMID = 7914773 }}</ref> | |||
==Specimen opening== | ==Specimen opening== | ||
Revision as of 03:41, 8 February 2016
This article covers gallbladder grossing, also cholecystectomy specimens.
Introduction
These specimens are very common and could be classified as a ditzel.
Cholecystectomies are usually done for:
- Chronic cholecystitis (increasingly common due to prevalence of obesity).
Less common indications are:
- Acute cholecystitis.
- Gallstones - as it may cause gallstone pancreatitis.
- Mirizzi syndrome.[1]
Specimen opening
These are not routinely opened before cut-up.
Protocol
- Specimen: Gallbladder.
- Received: [intact/opened/open with defect measuring ___ cm].
Dimensions:
- External dimensions: ___ cm length, ___ cm diameter.
- Wall thickness (maximal): ___ cm.
Appearance:
- Serosal surface: [tan and smooth/rough].
- Lumen contains: [thick green bile/multiple [yellow/green/black] calculi].
- Mucosa: [dark green and velvety/granular, hemorrhagic/strawberry-like].
- Polyp/tumour: [not identified/___ cm in maximal dimension].
- Wall: [pliable/firm].
- Neck: [pliable/firm].
- Cystic duct: [patent/not patent].
- Cystic duct lymph node: [not identified/present, measuring ___ cm in greatest dimension].
Secctions:
- Representive sections of the neck, body and fundus, including the cystic duct lymph node, are submitted in one cassette.