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Incidentally Detected 7 mm Gallbladder Polyp
Published in Savio George Barreto, Shailesh V. Shrikhande, Dilemmas in Abdominal Surgery, 2020
The patient presented in the Case Scenario was offered a laparoscopic cholecystectomy in view of the high-risk features of age >50 years, size >6 mm, and symptoms. The patient proceeded to have his surgery. Histopathological examination of the surgically resected gallbladder (Figure 28.2) confirmed cholesterolosis with a cholesterol polyp of the gallbladder.
The liver, gallbladder and pancreas
Published in C. Simon Herrington, Muir's Textbook of Pathology, 2020
Dina G. Tiniakos, Alastair D. Burt
In some gallbladders, excess cholesterol is phagocytosed by macrophages in the lamina propria. These aggregates of foamy macrophages produce yellow stippling and protrusion of the gallbladder mucosa, an appearance known as cholesterolosis or ‘strawberry’ gallbladder. This is of no clinical significance.
Liver, biliary system and pancreas
Published in Michael Gaunt, Tjun Tang, Stewart Walsh, General Surgery Outpatient Decisions, 2018
Satyajit Bhattacharya, Adrian O’Sullivan
There are two variations: adenomyomatosis of the gall bladder: diverticular formation of the epithelial liningcholesterolosis of the gall bladder: epithelial cells and macrophages in the gall bladder mucosa become laden with cholesterol, inducing chronic inflammation – the strawberry gall bladder.
Cholesterolosis as a cause of acute pancreatitis
Published in Baylor University Medical Center Proceedings, 2018
Ricardo E. De Armas, Jacob M. Rosenberg, Andrew Z. Fenves
Cholesterolosis is a benign condition that is usually discovered incidentally, either during cholecystectomy or on ultrasonography. These cholesterol polyps are common, with a prevalence ranging from 9% to 26%. In fact, cholesterol polyps are commonly found coexisting with gallstones. Given this association, there is reported evidence that the risk factors and the pathology of cholesterolosis are similar to those of gallstone disease.3 However, there are few studies that have investigated the relationship between gallbladder polyps and acute pancreatitis. These studies have reported conflicting results, suggesting that the question of whether gallbladder polyps can cause acute pancreatitis is still unknown.