Difference between revisions of "Gallstone pancreatitis"

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The treatment is cholecystectomy to avoid recurrence.<ref name=pmid23181667>{{Cite journal  | last1 = Bouwense | first1 = SA. | last2 = Besselink | first2 = MG. | last3 = van Brunschot | first3 = S. | last4 = Bakker | first4 = OJ. | last5 = van Santvoort | first5 = HC. | last6 = Schepers | first6 = NJ. | last7 = Boermeester | first7 = MA. | last8 = Bollen | first8 = TL. | last9 = Bosscha | first9 = K. | title = Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial. | journal = Trials | volume = 13 | issue =  | pages = 225 | month =  | year = 2012 | doi = 10.1186/1745-6215-13-225 | PMID = 23181667 }}</ref><ref name=pmid22470079>{{Cite journal  | last1 = van Baal | first1 = MC. | last2 = Besselink | first2 = MG. | last3 = Bakker | first3 = OJ. | last4 = van Santvoort | first4 = HC. | last5 = Schaapherder | first5 = AF. | last6 = Nieuwenhuijs | first6 = VB. | last7 = Gooszen | first7 = HG. | last8 = van Ramshorst | first8 = B. | last9 = Boerma | first9 = D. | title = Timing of cholecystectomy after mild biliary pancreatitis: a systematic review. | journal = Ann Surg | volume = 255 | issue = 5 | pages = 860-6 | month = May | year = 2012 | doi = 10.1097/SLA.0b013e3182507646 | PMID = 22470079 }}</ref>
The treatment is cholecystectomy to avoid recurrence.<ref name=pmid23181667>{{Cite journal  | last1 = Bouwense | first1 = SA. | last2 = Besselink | first2 = MG. | last3 = van Brunschot | first3 = S. | last4 = Bakker | first4 = OJ. | last5 = van Santvoort | first5 = HC. | last6 = Schepers | first6 = NJ. | last7 = Boermeester | first7 = MA. | last8 = Bollen | first8 = TL. | last9 = Bosscha | first9 = K. | title = Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial. | journal = Trials | volume = 13 | issue =  | pages = 225 | month =  | year = 2012 | doi = 10.1186/1745-6215-13-225 | PMID = 23181667 }}</ref><ref name=pmid22470079>{{Cite journal  | last1 = van Baal | first1 = MC. | last2 = Besselink | first2 = MG. | last3 = Bakker | first3 = OJ. | last4 = van Santvoort | first4 = HC. | last5 = Schaapherder | first5 = AF. | last6 = Nieuwenhuijs | first6 = VB. | last7 = Gooszen | first7 = HG. | last8 = van Ramshorst | first8 = B. | last9 = Boerma | first9 = D. | title = Timing of cholecystectomy after mild biliary pancreatitis: a systematic review. | journal = Ann Surg | volume = 255 | issue = 5 | pages = 860-6 | month = May | year = 2012 | doi = 10.1097/SLA.0b013e3182507646 | PMID = 22470079 }}</ref>
==Microscopic==
==Microscopic==
===Pancreas===
:See ''[[pancreatitis]]''.
===Gallbladder===
===Gallbladder===
Features:<ref name=pmid7726728>{{Cite journal  | last1 = Chitkara | first1 = YK. | title = Pathology of the gallbladder in gallstone pancreatitis. | journal = Arch Pathol Lab Med | volume = 119 | issue = 4 | pages = 355-9 | month = Apr | year = 1995 | doi =  | PMID = 7726728 }}</ref>
Features:<ref name=pmid7726728>{{Cite journal  | last1 = Chitkara | first1 = YK. | title = Pathology of the gallbladder in gallstone pancreatitis. | journal = Arch Pathol Lab Med | volume = 119 | issue = 4 | pages = 355-9 | month = Apr | year = 1995 | doi =  | PMID = 7726728 }}</ref>
*Aggregates of intraepithelial neutrophils ~ 60% of cases.
*Aggregates of intraepithelial neutrophils ~ 60% of cases.
*Findings of chronic cholecystitis ~ 30% of cases.
*Findings of [[chronic cholecystitis]] ~ 30% of cases.
*Findings of acute cholecystitis ~ 10% of cases.
*Findings of [[acute cholecystitis]] ~ 10% of cases.
 
==Sign out==
===Gallbladder===
<pre>
GALLBLADDER, CHOLECYSTECTOMY:
- CHOLELITHIASIS.
- MILD CHRONIC CHOLECYSTITIS.
</pre>
 
<pre>
GALLBLADDER, CHOLECYSTECTOMY:
- GALLBLADDER WITH AGGREGATES OF INTRAEPITHELIAL NEUTROPHILS.
- CHOLELITHIASIS.
- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
</pre>


===Pancreas===
<pre>
:See ''[[pancreatitis]]''.
GALLBLADDER, CHOLECYSTECTOMY:
- GALLBLADDER WALL WITH MINIMAL CHRONIC INFLAMMATORY CELLS AND CHOLESTEROLOSIS.
- CHOLELITHIASIS.
- ONE BENIGN LYMPH NODE.
</pre>


==See also==
==See also==

Latest revision as of 16:18, 14 March 2014

Gallstone pancreatitis is generally a clinical diagnosis. It may be seen in the context of autopsy.

General

The treatment is cholecystectomy to avoid recurrence.[1][2]

Microscopic

Pancreas

See pancreatitis.

Gallbladder

Features:[3]

Sign out

Gallbladder

GALLBLADDER, CHOLECYSTECTOMY:
- CHOLELITHIASIS.
- MILD CHRONIC CHOLECYSTITIS.
GALLBLADDER, CHOLECYSTECTOMY:
- GALLBLADDER WITH AGGREGATES OF INTRAEPITHELIAL NEUTROPHILS.
- CHOLELITHIASIS.
- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
GALLBLADDER, CHOLECYSTECTOMY:
- GALLBLADDER WALL WITH MINIMAL CHRONIC INFLAMMATORY CELLS AND CHOLESTEROLOSIS.
- CHOLELITHIASIS.
- ONE BENIGN LYMPH NODE.

See also

References

  1. Bouwense, SA.; Besselink, MG.; van Brunschot, S.; Bakker, OJ.; van Santvoort, HC.; Schepers, NJ.; Boermeester, MA.; Bollen, TL. et al. (2012). "Pancreatitis of biliary origin, optimal timing of cholecystectomy (PONCHO trial): study protocol for a randomized controlled trial.". Trials 13: 225. doi:10.1186/1745-6215-13-225. PMID 23181667.
  2. van Baal, MC.; Besselink, MG.; Bakker, OJ.; van Santvoort, HC.; Schaapherder, AF.; Nieuwenhuijs, VB.; Gooszen, HG.; van Ramshorst, B. et al. (May 2012). "Timing of cholecystectomy after mild biliary pancreatitis: a systematic review.". Ann Surg 255 (5): 860-6. doi:10.1097/SLA.0b013e3182507646. PMID 22470079.
  3. Chitkara, YK. (Apr 1995). "Pathology of the gallbladder in gallstone pancreatitis.". Arch Pathol Lab Med 119 (4): 355-9. PMID 7726728.