Difference between revisions of "Gallbladder grossing"
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These specimens are very common and could be classified as a [[ditzel]]. | These specimens are very common and could be classified as a [[ditzel]]. | ||
Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common due to prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]]<ref name=pmid7914773>{{Cite journal | last1 = Hsu | first1 = YB. | last2 = Yu | first2 = SC. | last3 = Lee | first3 = PH. | last4 = Wei | first4 = TC. | title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. | journal = J Formos Med Assoc | volume = 93 | issue = 4 | pages = 314-9 | month = Apr | year = 1994 | doi = | PMID = 7914773 }}</ref>). | Cholecystectomies are usually done for [[chronic cholecystitis]] (increasingly common in western countries due to the increasing prevalence of [[obesity]]). Less common indications are [[acute cholecystitis]] and [[gallstones]] (may cause [[gallstone pancreatitis]], [[Mirizzi syndrome]]<ref name=pmid7914773>{{Cite journal | last1 = Hsu | first1 = YB. | last2 = Yu | first2 = SC. | last3 = Lee | first3 = PH. | last4 = Wei | first4 = TC. | title = An uncommon cause of biliary obstruction (Mirizzi syndrome): report of five cases. | journal = J Formos Med Assoc | volume = 93 | issue = 4 | pages = 314-9 | month = Apr | year = 1994 | doi = | PMID = 7914773 }}</ref>). | ||
==Specimen opening== | ==Specimen opening== | ||
Revision as of 03:47, 8 February 2016
This article covers gallbladder grossing, also cholecystectomy specimens.
Introduction
These specimens are very common and could be classified as a ditzel.
Cholecystectomies are usually done for chronic cholecystitis (increasingly common in western countries due to the increasing prevalence of obesity). Less common indications are acute cholecystitis and gallstones (may cause gallstone pancreatitis, Mirizzi syndrome[1]).
Specimen opening
These are not routinely opened before cut-up.
Protocol
- Specimen: Gallbladder.
- Received: [intact/opened/open with defect measuring ___ cm].
Dimensions:
- External dimensions: ___ cm length, ___ cm diameter.
- Wall thickness (maximal): ___ cm.
Appearance:
- Serosal surface: [tan and smooth/rough].
- Lumen contains: [thick green bile/multiple [yellow/green/black] calculi].
- Mucosa: [dark green and velvety/granular, hemorrhagic/strawberry-like].
- Polyp/tumour: [not identified/___ cm in maximal dimension].
- Wall: [pliable/firm].
- Neck: [pliable/firm].
- Cystic duct: [patent/not patent].
- Cystic duct lymph node: [not identified/present, measuring ___ cm in greatest dimension].
Secctions:
- Representive sections of the neck, body and fundus, including the cystic duct lymph node, are submitted in one cassette.