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Cholesterolosis of Gall Bladder
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Cholesterolosis of Gall Bladder

Gallbladder has been opened displaying the mucosa
Innumerable tiny (1mm or less) bright yellow dots represent foci of cholesterol filled macrophages in the mucosa
No stones are present in this case although it is common to find evidence of chronic cholecystitis and cholelithiasis in these cases
(Description By:Melinda Sanders,M.D. )
(Image Contrib. by:Melinda Sanders,M.D. UCHC )
Cholesterolosis
Etiology

Unknown
Pathogenesis

Unknown,
Epidemiology

Incidental finding
General Gross Description

Characterized by abnormal deposition of mixtures of cholesterol and triglyceride in macrophages in the lamina propria of the gallbladder.
The accumulating macrophages cause a distinctive bulge and lift the superficial epithelium overlying them.
The condition can either be localized or extensive and diffuse.
The latter is referred to as a "strawberry gallbladder".
In a strawberry gallbladder, the mucosa tends to be red, and is flecked with numerous yellowish spots.
General Microscopic Description

Histologically, the lesion is characterized by numerous foamy macrophages lying just beneath the columnar epithelium of the gallbladder.
Clinical Correlation

The condition has no clinical significance and is not associated with any symptoms.
There is no evidence that cholesterolosis predisposes to cholelithiasis or cholecystitis.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994.
Cholesterolosis
Synopsis by: T.V.Rajan, M.D., Ph.D. (T57000M55250)[585]
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