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Difference between revisions of "Eosinophilic cholecystitis"
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{{ Infobox diagnosis | |||
| Name = {{PAGENAME}} | |||
| Image = Eosinophilic cholecystitis -- low mag.jpg | |||
| Width = | |||
| Caption = Eosinophilic cholecystitis. [[H&E stain]]. (WC) | |||
| Synonyms = | |||
| Micro = gallbladder wall with inflammatory infiltrate that is >90% [[eosinophil]]s | |||
| Subtypes = (subtype of acute cholecystitis) | |||
| LMDDx = [[acute cholecystitis]] with eosinophils | |||
| Stains = | |||
| IHC = | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = | |||
| Grossing = | |||
| Staging = | |||
| Site = [[gallbladder]] | |||
| Assdx = eosinophilic cholangitis, hypereosinophilic syndromes, parasitic infection | |||
| Syndromes = | |||
| Clinicalhx = | |||
| Signs = see ''[[acute cholecystitis]]'' | |||
| Symptoms = | |||
| Prevalence = rare - case reports | |||
| Bloodwork = +/-eosinophilia | |||
| Rads = | |||
| Endoscopy = | |||
| Prognosis = benign | |||
| Other = | |||
| ClinDDx = [[acute cholecystitis]] | |||
| Tx = cholecystectomy | |||
}} | |||
'''Eosinophilic cholecystitis''' is a rare type of [[cholecystitis]]. | '''Eosinophilic cholecystitis''' is a rare type of [[cholecystitis]]. | ||
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*Eosinophilic cholangitis. | *Eosinophilic cholangitis. | ||
*Hypereosinophilic syndromes (HES). | *Hypereosinophilic syndromes (HES). | ||
*Parasitic | *Parasitic infection. | ||
==Microscopic== | ==Microscopic== | ||
Features: | Features: | ||
*Gallbladder wall with | *Gallbladder wall with inflammatory infiltrate that is >90% eosinophils.<ref name=pmid17522376>{{Cite journal | last1 = Shakov | first1 = R. | last2 = Simoni | first2 = G. | last3 = Villacin | first3 = A. | last4 = Baddoura | first4 = W. | title = Eosinophilic cholecystitis, with a review of the literature. | journal = Ann Clin Lab Sci | volume = 37 | issue = 2 | pages = 182-5 | month = | year = 2007 | doi = | PMID = 17522376 }}</ref><ref name=pmid24638193>{{Cite journal | last1 = Choudhury | first1 = M. | last2 = Pujani | first2 = M. | last3 = Katiyar | first3 = Y. | last4 = Jyotsna | first4 = PL. | last5 = Rautela | first5 = A. | title = Idiopathic eosinophilic cholecystitis with cholelithiasis: a report of two cases. | journal = Turk Patoloji Derg | volume = 30 | issue = 2 | pages = 142-4 | month = | year = 2014 | doi = 10.5146/tjpath.2014.01235 | PMID = 24638193 }}</ref> | ||
DDx: | DDx: | ||
*[[Acute cholecystitis]]. | *[[Acute cholecystitis]]. | ||
===Images=== | |||
<gallery> | |||
Image: Eosinophilic cholecystitis -- extremely low mag.jpg | EC - extremely low mag. (WC) | |||
Image: Eosinophilic cholecystitis -- very low mag.jpg | EC - very low mag. (WC) | |||
Image: Eosinophilic cholecystitis -- low mag.jpg | EC - low mag. (WC) | |||
Image: Eosinophilic cholecystitis -- intermed mag.jpg | EC - intermed. mag. (WC) | |||
Image: Eosinophilic cholecystitis -- high mag.jpg | EC - high mag. (WC) | |||
Image: Eosinophilic cholecystitis - alt -- very low mag.jpg | EC - very low mag. (WC) | |||
Image: Eosinophilic cholecystitis - alt -- low mag.jpg | EC - low mag. (WC) | |||
</gallery> | |||
==Sign out== | |||
<pre> | |||
Gallbladder, Cholecystectomy: | |||
- Eosinophilic cholecystitis and cholelithiasis, see comment. | |||
Comment: | |||
Eosinophilic cholecystitis may be idiopathic or associated with other conditions characterized by eosinophilia, including but not limited to parasitic infections and hypereosinophilic syndromes. Clinical correlation is required. | |||
</pre> | |||
===Verbose=== | |||
<pre> | |||
Gallbladder, Cholecystectomy: | |||
- Eosinophilic cholecystitis and cholelithiasis, see comment. | |||
Comment: | |||
The histopathologic diagnosis of eosinophilic cholecystitis is in keeping with the clinical impression of acute cholecystitis. | |||
Eosinophilic cholecystitis may be idiopathic or associated with other conditions characterized by eosinophilia, including but not limited to parasitic infections and hypereosinophilic syndromes. Clinical correlation is required. | |||
</pre> | |||
==See also== | ==See also== | ||