Difference between revisions of "Talk:Gallbladder"

From Libre Pathology
Jump to navigation Jump to search
Line 14: Line 14:
**RK sinuses.
**RK sinuses.
**Papillary hyperplasia.
**Papillary hyperplasia.
**Cholesterolosis.
**Cholesterolosis (multiple foci) - 2x.
*Favour acute:
*Favour acute:
**Gallstone in neck.
**Gallstone in neck (gross description or radiology).
**Edema.
**Edema.
**Reactive epithelial changes.
**Reactive epithelial changes.
**Several [[PMN]]s.
**Several [[PMN]]s - 2x.
**Wall thickness > 3 mm (gross) - required for acute.
**Wall thickness > 3 mm (gross) - required for acute.

Revision as of 08:15, 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:
    • 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) - required for acute.