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 vs chronic

• Clinical hx

Chronic

• 40s or less
• RK sinuses
• Papillary hyperplasia
• Cholesterolosis

Acute

• Gallstone in neck
• Edema
• Reactive epithelial changes
• Several PMNs
• Wall thickness > 3 mm (gross) - required for acute