Difference between revisions of "Gallbladder cholesterolosis"

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| Micro      = abundant foamy macrophages in the lamina propria, +/-papillary hyperplasia
| Micro      = abundant foamy macrophages in the lamina propria, +/-papillary hyperplasia
| Subtypes  =
| Subtypes  =
| LMDDx      =
| LMDDx      = [[cholesterol polyp of gallbladder]]
| Stains    =
| Stains    =
| IHC        =
| IHC        =
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*Numerous foamy macrophages in the lamina propria.
*Numerous foamy macrophages in the lamina propria.
*+/-Papillary hyperplasia.<ref name=pmid7990683>{{Cite journal  | last1 = Celoria | first1 = GC. | last2 = Rodríguez Otero | first2 = JC. | last3 = Proske | first3 = SA. | last4 = Vallilengua | first4 = C. | title = Papillary hyperplasia and cholesterolosis of the gallbladder. | journal = Medicina (B Aires) | volume = 54 | issue = 1 | pages = 31-4 | month =  | year = 1994 | doi =  | PMID = 7990683 }}</ref>  
*+/-Papillary hyperplasia.<ref name=pmid7990683>{{Cite journal  | last1 = Celoria | first1 = GC. | last2 = Rodríguez Otero | first2 = JC. | last3 = Proske | first3 = SA. | last4 = Vallilengua | first4 = C. | title = Papillary hyperplasia and cholesterolosis of the gallbladder. | journal = Medicina (B Aires) | volume = 54 | issue = 1 | pages = 31-4 | month =  | year = 1994 | doi =  | PMID = 7990683 }}</ref>  
DDx:
*[[Cholesterol polyp of gallbladder]] - polypoid shape.


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Revision as of 03:46, 31 May 2016

Gallbladder cholesterolosis
Diagnosis in short

Gallbladder cholesterolosis. H&E stain.

LM abundant foamy macrophages in the lamina propria, +/-papillary hyperplasia
LM DDx cholesterol polyp of gallbladder
Gross gallbladder mucosa with strawberry-like texture
Site gallbladder

Associated Dx chronic cholecystitis, obesity, cholelithiasis
Clinical history biliary colic - due to chronic cholecystitis
Prevalence common
Prognosis benign

Gallbladder cholesterolosis, also known simply as cholesterolosis, is a common gallbladder pathology associated with chronic cholecystitis.

Informally, gallbladder cholesterolosis is known as strawberry gallbladder.

General

Gross

Features:

  • Mucosa has strawberry-like appearance.
    • The similarity is in the surface texture.
    • The colour (yellow) is not strawberry-like.

Image

Microscopic

Features:

  • Numerous foamy macrophages in the lamina propria.
  • +/-Papillary hyperplasia.[1]

DDx:

Image

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GALLBLADDER, CHOLECYSTECTOMY:
- CHRONIC CHOLECYSTITIS WITH CHOLESTEROLOSIS.
- CHOLELITHIASIS.
GALLBLADDER, CHOLECYSTECTOMY:
- CHRONIC CHOLECYSTITIS WITH FOCAL FOAMY MACROPHAGES IN LAMINA PROPRIA.
- CHOLELITHIASIS.

See also

References

  1. Celoria, GC.; Rodríguez Otero, JC.; Proske, SA.; Vallilengua, C. (1994). "Papillary hyperplasia and cholesterolosis of the gallbladder.". Medicina (B Aires) 54 (1): 31-4. PMID 7990683.