Syn: Strawberry Gallbladder
(strawberry) gallbladder is the accumulation of cholesterol-laden
macrophages in the lamina propria of the gallbladder, and is a common incidental finding
se is symptomless.
Symptoms, if any are generally due to associated
gallstones or cholecystitis.
often accompanied by one or more cholesterol stones and is therefore
thought to reflect the presence of bile supersaturated with
stones are thought to be derived from the deposits in the mucous
Grossly, in fresh
state the interior of the gallbladder looks something like a
strawberry, the yellow specks (submucous aggregations of cholesterol
crystals and cholesterol esters) corresponds to the seeds.
the mucosal folds are swollen. Large, foamy lipid laden macrophages, in which
a small dark nuclei are present in the villous processes of the
mucosa. Initially the lesion involves the tips, later they fill the
entire villous process.