Difference between revisions of "Talk:Gallbladder"

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ii) cholelithiasis
ii) cholelithiasis


== Acute vs chronic ==
==[[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 [[PMN]]s - 2x.
**Wall thickness > 3 mm (gross description or radiology) - required for acute.


*Clinical hx
== gallbladder adenomyosis ==


Chronic
comet tail artifact
*40s or less
*RK sinuses
*Papillary hyperplasia
*Cholesterolosis
 
Acute
*Gallstone in neck
*Edema
*Reactive epithelial changes
*Several PMNs

Latest revision as of 20:04, 6 April 2023

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 description or radiology) - required for acute.

gallbladder adenomyosis

comet tail artifact