Difference between revisions of "Talk:Gallbladder"
Jump to navigation
Jump to search
| Line 8: | Line 8: | ||
ii) cholelithiasis | ii) cholelithiasis | ||
== Acute | == Acute cholecystitis versus chronic cholecystitis== | ||
*Clinical impression. | |||
*Clinical | *Favour chronic: | ||
**40s or less. | |||
**RK sinuses. | |||
*40s or less | **Papillary hyperplasia. | ||
*RK sinuses | **Cholesterolosis. | ||
*Papillary hyperplasia | *Favour acute: | ||
*Cholesterolosis | **Gallstone in neck. | ||
**Edema. | |||
**Reactive epithelial changes. | |||
*Gallstone in neck | **Several [[PMN]]s. | ||
*Edema | **Wall thickness > 3 mm (gross) - required for acute. | ||
*Reactive epithelial changes | |||
*Several | |||
*Wall thickness > 3 mm (gross) - required for acute | |||
Revision as of 07:57, 31 July 2013
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:
- 40s or less.
- RK sinuses.
- Papillary hyperplasia.
- Cholesterolosis.
- Favour acute:
- Gallstone in neck.
- Edema.
- Reactive epithelial changes.
- Several PMNs.
- Wall thickness > 3 mm (gross) - required for acute.