Talk:Gallbladder
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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