Health #02 | Are you a patient of Cholecystitis ??
Today I'm here to show you what happens when you eat a lot of spicy foods !
Simply speaking, it usually affects our bile storing organ called the Gall Bladder leading to a condition called Cholecystitis.
It may be of acute or chronic type. Chronic cholecystitis may be a result of repeated episodes of mild to severe acute cholecystitis. It is usually associated with cholelithiasis (gall bladder stone) in more than 90% of cases.
*Etiology:
The causes include:- Gallstones
- Obstruction
- Tumor
Here's a pic snapped by me at my own college showing the gross and microscopic views of Chronic cholecystitis !
*Morphology:
GROSS:
*Serosa:
- It is usually smooth and glistening. It may be dulled by subserosal fibrosis.
- Dense fibrous adhesion - May remain as sequel of preexisting acute inflammation.
- On sectioning, wall is invariably thickened, and has an opaque gray white appearance.
*In uncomplicated cases:
-The lumen contains fairly clear, green yellow, mucoid bile and usually stones.
-Mucosa is preserved (generally)
![](https://steemitimages.com/DQmXDpFCsUzKwZvaghF4dyEFZ75oN1zj7jxkhA6iRuHJwgK/cc.jpg)
MICROSCOPY:
- Degree of inflammation is invariable.
*Mild case
-Only scattered lymphocytes, plasma cells and macrophages are found in the mucosa and in the subserosal fibrous tissue
*Advanced case
- There is marked subepithelial and subserosal fibrosis, accompained by mononuclear cell infiltration
- G.B. wall has buried crypts epithelium i.e due to reactive proliferation of mucosa and fusion of mucosal fold
- Outpouching of the mucosa through the G.B. wall form Rokitansky Aschoff Sinus (contain bile).
![](https://steemitimages.com/640x0/https://steemitimages.com/DQmPpWqZgw17jEXLqUdbAdXandTk3psBDroFWdj3hwNqAm4/gb3.jpg)
![](https://steemitimages.com/DQmUv37g6YsR7h2CaL6ciPTaHrUU1BduCgEW1oWrDYMNfev/gb2.jpg)
*What are the symptoms??
![cc1.jpg](![](https://steemitimages.com/640x0/https://steemitimages.com/DQmWFoXW2pxYoPsQq32H4vXYGsTZDfhUkh24PoCG6gk2D8E/cc1.jpg)
*What are the complications??
![](https://steemitimages.com/DQmRvcJ4hMZdvFsmCc5JXzcGbknmPwRty1Ssv6kqXm8ypRt/cc3.jpg)
*What is the treatment??
![](https://steemitimages.com/640x0/https://steemitimages.com/DQmcA8HRnZsqodSZeZSypgNjwqXaC71ye7m2do7N8dCQ2yu/chronic-cholecystitis-treatment-n.jpg)
So guys that's all for today !
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