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Anatomy of Gall Bladder ;
Arterial and Lymphatic Supply of Gall Bladder
;
Physiology of Gall Bladder
.
Cholecystectomy
specimens are commonly received in most general histopathology
laboratories.
They are usually
removed for the treatment of chronic cholecystitis and cholelithiasis.
If the composition of the gall stones needs to be assessed, this can
be done by X-ray spectrometric analysis.
Carcinoma of the
gall bladder may be a chance finding in cholecystectomy specimens
removed for apparently non-specific cholecystitis.
When the
diagnosis of carcinoma of the gall bladder or bile ducts is made
clinically the tumour is usually advanced and inoperable. Attempts at
curative surgery therefore require radical operations with partial
hepatectomy.
Most gall
bladders are received fixed in formalin, incised but not fully opened
and everted, or (particularly in the early days of laparoscopic
cholecystectomy) in multiple pieces.
Macroscopic
examination includes inspection of the mucosa cleaned of all calculous
debris, and examination of any included calculi to identify them as
mixed, pigment, or cholesterol stones.
A description
usually includes three dimensions and wall thickness ;the presence or
absence of a cystic lymph node, plastic clips on the neck, and whether
the gall bladder was received opened or unopened, with or without
stones or stone debris.
Comments should
be made about any anatomical variation, ulcers or tumours.
The presence of
cholesterolosis is easy to recognize macroscopically.
Blocks are taken
from the neck, body, fundus, cystic lymph node and any visible
pathology.
Visit:
Gall Bladder Pathology Online ;
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;
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;
Case Index ;
Nutritional Pathology Online
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