Partial Cholecystectomy Safe and Effective

Patients undergoing surgical treatment for calculous disease were considered to have had a partial cholecystectomy performed when a part of the gall bladder wall was retained for technical reasons. Forty patients underwent partial cholecystectomy: for chronic cholecystitis (20), acute cholecystitis (4), Mirizzi's syndrome (14), portal hypertension or partially accesible gall bladder (one patient each). Four patients (10%) developed infective complications and two patients had retained common bile duct stones. In a mean follow up period of 13 months (range 1–36 mths), only 3 patients have ongoing mild dyspeptic symptoms while the rest have remained asymptomatic. Partial cholecystectomy has been found to be a safe and effective procedure in difficult cholecystectomy situations, since it combines the merits of cholecystectomy and cholecystostomy.

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Follicular cholecystitis with cholelithiasis – A diagnostic pitfall

IP Journal of Diagnostic Pathology and Oncology ◽

10.18231/j.jdpo.2021.067 ◽

2021 ◽

Vol 6 (4) ◽

pp. 316-318

Author(s):

Jaydeep N Pol ◽

Neha M Bhosale ◽

Mahendra Atmaram Patil ◽

Vaishali J Pol

Keyword(s):

Gall Bladder ◽

Histopathological Examination ◽

Bladder Wall ◽

Chronic Cholecystitis ◽

Bladder Tissue ◽

Lymphoid Follicles ◽

Diagnostic Pitfall ◽

Germinal Centres ◽

Gall Bladder Wall ◽

Difficult Cases

Follicular Cholecystitis (FC) is an extremely rare subtype of Chronic Cholecystitis (CC). It is characterized by hyperplastic lymphoid follicles along with prominent germinal centers. It constitutes about 2% of routine cholecystectomies. In this article, we report a case of FC in a 69 years lady. She had abdominal pain, clinically diagnosed as Calculus cholecystitis and managed by laparoscopic cholecystectomy. Grossly, thickening of the gall bladder wall was noted. Histopathological examination revealed gall bladder wall infiltrated by dense lymphoid infiltrate forming lymphoid follicles with prominent germinal centres. Hence, we rendered a diagnosis of FC. The purpose of presenting this case is to make pathologists aware about this entity. One should not mistake this lesion for lymphoma. A careful histopathological examination is diagnostic and Immunohistochemistry may be helpful in difficult cases.Follicular Cholecystitis is extremely rare variant of Chronic cholecystitis. It is characterized by at least 3 Lymphoid Follicles per cm of Gall Bladder tissue with inflammatory infiltrate composed almost exclusively of scattered well-formed Lymphoid Follicles. Pathologist must be familiar with this entity to avoid misdiagnosis of lymphoma.

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An observational study to assess male gender as an isolated risk factor in the laparoscopic cholecystectomy

International Surgery Journal ◽

10.18203/2349-2902.isj20213133 ◽

2021 ◽

Vol 8 (8) ◽

pp. 2382

Author(s):

Bhupen Songra ◽

Amit Kumar ◽

Mohit Jain ◽

Gaurav Jalendra

Keyword(s):

Risk Factor ◽

Laparoscopic Cholecystectomy ◽

Gall Bladder ◽

Wall Thickness ◽

Bladder Wall ◽

Male Gender ◽

P Value ◽

Bladder Wall Thickness ◽

Gall Bladder Wall ◽

Difficult Cholecystectomy

Background: Laparoscopic cholecystectomy is the procedure of choice for majority of patients with gall bladder disease. The aim of the study was to investigate the role of male gender as an isolated risk factor responsible for the increased peri-operative morbidity of laparoscopic cholecystectomy by excluding associated risk factors.Methods: This was a prospective observational descriptive study 60 cases of elective laparoscopic cholecystectomy admitted to the S. M. S. Hospital from July 2019 to May 2020 were included.Results: The most common age group in male was 41-50 years and in female was 51-60 years. Impacted stones and gall bladder wall thickness >4 mm was causes of difficult cholecystectomy and evenly distributed in both sexes. Operative time (p value=0.268), visual analogue score on day 1 (p value=0.307) and hospital stay (p value=0.376) was more in male group but not statistically significant.Conclusions: Impacted stone and gall bladder wall thickness >4 mm were only factors associated with difficult laparoscopic cholecystectomy and excludes male gender as an isolated risk factor for difficult cholecystectomy however large-scale studies may provide different results.

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The Absorption of Tetracycline Analogues by the Gall Bladder Wall. Experimental Study

Chemotherapy ◽

10.1159/000220351 ◽

1964 ◽

Vol 9 (2) ◽

pp. 111-118

Author(s):

Z. Ondráček ◽

V. Zástava

Keyword(s):

Experimental Study ◽

Gall Bladder ◽

Bladder Wall ◽

Gall Bladder Wall

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Patterns of Gall Bladder Wall Thickening in Dengue Fever: A Mirror of the Severity of Disease

Ultrasound International Open ◽

10.1055/s-0043-105262 ◽

2017 ◽

Vol 03 (02) ◽

pp. E76-E81 ◽

Cited By ~ 5

Author(s):

Jitendra Parmar ◽

Chander Mohan ◽

Maulik Vora

Keyword(s):

Gall Bladder ◽

Dengue Fever ◽

Bladder Wall ◽

Warning Signs ◽

Severe Dengue ◽

Wall Thickening ◽

Severity Of Disease ◽

Gall Bladder Wall ◽

Track Pattern ◽

Honeycomb Pattern

Abstract Background Dengue fever is a major public health problem with an increased incidence in recent years. Gall bladder wall thickening has been reported as one of the most common findings in dengue fever. There is a paucity of literature regarding the various patterns of gall bladder wall thickening in dengue fever and their significance in predicting the severity of disease. Methodology and Significant Findings Out of 93 seropositive patients included in the study, 54 patients with dengue fever had gall bladder wall thickening. 4 patterns of gall bladder wall thickening are demonstrated in this study. A uniform echogenic pattern in 20 patients, striated or tram track pattern in 11 patients, an asymmetric pattern in 2 patients and a honeycombing pattern in 21 patients. The range of patterns of wall thickening included normal wall thickening or uniform echogenic wall thickening in DF without warning signs, a striated or tram track pattern, and a honeycomb pattern in severe DF. Serial ultrasound done on consecutive alternate days revealed a change in the pattern of gall bladder wall thickening according to the severity of disease. Conclusion The present study revealed 4 distinct patterns of gall bladder wall thickening. The uniform echogenic pattern was found to be more prevalent in dengue fever without warning signs, while the honeycomb pattern was found to be more prevalent in severe dengue fever. A change in the pattern of gall bladder wall thickening on subsequent serial ultrasound can predict the severity of the disease.

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