Diffuse cholesterolosis in the gallbladder

Case contributed by Dr Angel Romero Domínguez

Presentation

Asymptomatic patient, incidental finding.

Patient Data

Age: 50 years
Gender: Female

Gallbladder

Ultrasound

The gallbladder is of normal size, the wall is thickened to 5 mm and is mildly irregular in appearance with some small polyps.

Case Discussion

The findings correspond to a diffuse cholesterolosis. The gross pathological appearance of this process has been termed "strawberry gallbladder" 1-3. This is due to the deposit of triglycerides and cholesterol esters in the macrophages (foam cells) within the lamina propria.

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