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Pathology Unit IV
Gastrointestinal Tract: Gall Bladder
23
Pathology
Graduate
03/06/2013

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Term
Acute cholecystitis definition
Definition
inflammation of the gallbladder
Term
Incidence of Acute cholecystitis
Definition
most common indications for abdominal surgery
Term
pathogenesis of Acute cholecystitis
Definition
in 90% of attacks is initiated by impaction of a gallstone within the neck of the gallbladder or the cystic duct. Bacteria - streptococci, staphylococci, E. coli, enterococci, Klebsiella, or Proteus - can be identified in the bile in about 75% of cases
Term
clinical course of Acute cholecystitis
Definition
Is an acute surgical emergency because gallbladder contains pus (empyema) and bile with potential of rupture and bile peritonitis
Term
Chronic cholecystitis definition
Definition
inflammation of the gallbladder
Term
Incidence of Chronic cholecystitis
Definition
most common indications for abdominal surgery, The typical patient is an overweight female, over age 40, history of multiple pregnancies, +- diabetes, cholesterol stones.
Term
pathogenesis of Chronic cholecystitis
Definition
: may be related to repeated bouts of acute cholecystitis, but usually develops without any prior acute episodes.
Term
clinical course of chronic cholecystitis
Definition
Patient may experience vague epigastric discomfort, intolerance to fatty foods, heartburn and belching. Not a medical emergency
Term
incidence of carcinoma of the gallbladder
Definition
most frequent malignant tumor of the biliary tract
Term
etiological factors of carcinoma of the gallbladder
Definition
: 2 to 6 times more common in women, age 70, gallstone disease
Term
gross features of carcinoma of the gallbladder
Definition
exophytic or infiltrating growth patterns, diffuse thickening and induration of the gallbladder wall, scirrhour and firm
Term
histologic features of carcinoma of the gallbladder
Definition
adenocarcinomas are papillary or poorly differentiated
Term
clinical course of carcinoma of the gallbladder
Definition
Tends to present late, in advanced stages of disease. May present with symptoms similar to gall stones.
Term
incidence of carcinoma of the bile ducts
Definition
Term
etiologic factors of carcinoma of the bile ducts
Definition
Term
gross features of carcinoma of the bile ducts
Definition
Term
histologic features of carcinoma of the bile ducts
Definition
Term
clinical course of carcinoma of the bile ducts
Definition
Term
incidence of carcinoma of the ampulla of vater
Definition
Term
etiologic factors of carcinoma of the ampulla of vater
Definition
Term
gross features of carcinoma of the ampulla of vater
Definition
Term
histologic features of carcinoma of the ampulla of vater
Definition
Term
clinical course of carcinoma of the ampulla of vater
Definition
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