Talk:Gallbladder

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.