Cholecystitis
Revision as of 16:15, 13 August 2020 by Mikael Häggström (talk | contribs) (→Findings in acute cholecystisis: Bolded)
Author:
Mikael Häggström [note 1]
Inflammation of the gallbladder:
Contents
Gross processing
As per basic Gallbladder.
Microscopic evaluation
Findings in acute cholecystisis
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- Later often necrosis of the mucosa and and deeper layers, with neutrophils.[1]
- Variable reactive epithelial changes, which may resemble dysplasia.[1]
There may be fresh thrombi within small veins.[1]
Findings in chronic cholecystitis
Typical features are:[2]
- Smooth muscle hypertrophy in the muscularis
- Mild inflammatory infiltrates
- Rokitansky-Aschoff sinuses
Other findings favoring the diagnosis are:[2]
- Granulomas (from ruptured Rokitansky-Aschoff sinuses) strogly favor the diagnosis.
- Hyalinized collagen
- Dystrophic calcification
- Lymphoid aggregates
- Atrophic and/or ulcerated mucosa
- Metaplastic changes, such as gastric or intestinal mucosa
For a general gallbladder screening, see gallbladder.
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
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