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- Title
The Frequency of Gall Bladder Pathology in Consecutive 576 Cholecystectomies.
- Authors
Alshareefi, Layth A.; Ali, Mohammed A.; Metib, Nazar J.; Jasim, Mahdei
- Abstract
Background: Cholecystectomies with relevant frequency of gall bladder pathologies is not clear. Patients and methods: Throughout 2016 and 2017 in pathology unites of two hospitals, 576 cholecystectomy cases were analysed. The age of the patients range from 2 to 80 years with a mean of 42.60±15.62 years. Male to female ratio was 152:424 (1:3).All the samples reviewed by two consultant pathologists. Aim of study: To Study the frequency of histopathological changes in 576 cholecystectomies. Results and discussion: Of the total sample which was 576, 437 cases (75.9%) had gall stones, 51 cases (8.9%) were acute cholecystitis, 464 cases (80.6%) were chronic cholecystitis, 9 were malignant (1.6%) and 52 were normal (9%). All the malignant cases were solid variant adenocarcinomas and only one was metastatic from sigmoid colon. Acute suppurative cholecystitis were seen in 24 cases (4.1%), xanthogranulomatous cholecystitis 34 (6.1%), Rokitansky - Aschoff sinuses were seen in 223 (38.7%), inspissated bile 24 (4.2%), adenomyomatous changes 146 (25.3%), focal abscess formation 26 (4.5%), cholesterosis 31 (5.4%), metaplasia 465 (80.7%), single adenomatous polyp, eosinophilic cholecystitis 25 (4.3%). In adenomyomatous changes the epithelial proliferation was florid with Rokitansky - Aschoff sinuses and smoth muscle hypertrophy. Metaplastic changes were of pyloric, intestinal and mucous glands types, the adenomatous polyp was of biliary type with low grade epithelial atypia. Conclusion: The available data may provide basic knowledge of the gall bladder pathology in holey Karbala.
- Subjects
KARBALA (Iraq); CHOLECYSTITIS; BILE; ADENOMATOUS polyps; BLADDER; PATHOLOGY; SIGMOID colon
- Publication
Kerbala Jorunal of Medicine, 2019, Vol 12, Issue 1, p4154
- ISSN
1990-5483
- Publication type
Article