Follicular Cholecystitis: What a General Surgeon Should Know

Acute cholecystitis is a common medical problem in the United States resulting in hospital admission with definitive care being a cholecystectomy. 1 Upon pathologic review, the most common finding in gallbladder specimen is chronic cholecystitis denoted by the presence of chronic inflammatory cells....

Full description

Saved in:
Bibliographic Details
Published in:The American surgeon 2022-03, Vol.88 (3), p.554-556
Main Authors: Arias, Fernando D., Brown, Zachary J., Prochilo, Gina, Butts, Christopher A., To, Jennifer
Format: Article
Language:English
Subjects:
Abdomen
Acute Disease
Bacterial diseases
Bile ducts
Cholecystectomy
Cholecystectomy, Laparoscopic
Cholecystitis
Cholecystitis - surgery
Emergency medical care
Emergency medical services
Etiology
Follicles
Gallbladder
Gallbladder diseases
Gallstones
Gastrointestinal surgery
Gram-negative bacteria
Humans
Immune response
Inflammation
Lamina propria
Nausea
Pain
Patients
Surgeons
Ultrasonic imaging
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Acute cholecystitis is a common medical problem in the United States resulting in hospital admission with definitive care being a cholecystectomy. 1 Upon pathologic review, the most common finding in gallbladder specimen is chronic cholecystitis denoted by the presence of chronic inflammatory cells. 2 On occasion, in addition to chronic inflammatory cells, lymphoid follicles within the lamina propria are the predominant feature, and is therefore referred to as follicular cholecystitis. Little is known about the etiology, with few studies suggesting a causal association with gram negative bacterial infection and distal biliary obstruction. 3 A 60-year-old female presented to the emergency department (ED) with a 1-week history of worsening abdominal pain, nausea, and fatigue. See PDF] Follicular cholecystitis is a rare entity; while some studies have shown that
ISSN:0003-1348
1555-9823
DOI:10.1177/00031348211047212