Difference between revisions of "Eosinophilic cholecystitis"
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| Line 17: | Line 17: | ||
| Staging = | | Staging = | ||
| Site = [[gallbladder]] | | Site = [[gallbladder]] | ||
| Assdx = eosinophilic cholangitis, | | Assdx = eosinophilic cholangitis, hypereosinophilic syndromes, parasitic infection | ||
| Syndromes = | | Syndromes = | ||
| Clinicalhx = | | Clinicalhx = | ||
| Line 23: | Line 23: | ||
| Symptoms = | | Symptoms = | ||
| Prevalence = rare - case reports | | Prevalence = rare - case reports | ||
| Bloodwork = | | Bloodwork = +/-eosinophilia | ||
| Rads = | | Rads = | ||
| Endoscopy = | | Endoscopy = | ||
| Line 40: | Line 40: | ||
*Eosinophilic cholangitis. | *Eosinophilic cholangitis. | ||
*Hypereosinophilic syndromes (HES). | *Hypereosinophilic syndromes (HES). | ||
*Parasitic | *Parasitic infection. | ||
==Microscopic== | ==Microscopic== | ||
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Comment: | Comment: | ||
Eosinophilic cholecystitis may be idiopathic or associated with other conditions characterized by eosinophilia, including but not limited to parasitic infections and hypereosinophilic syndromes. Clinical correlation is required. | |||
</pre> | |||
===Verbose=== | |||
<pre> | |||
Gallbladder, Cholecystectomy: | |||
- Eosinophilic cholecystitis and cholelithiasis, see comment. | |||
Comment: | |||
The histopathologic diagnosis of eosinophilic cholecystitis is in keeping with the clinical impression of acute cholecystitis. | |||
Eosinophilic cholecystitis may be idiopathic or associated with other conditions characterized by eosinophilia, including but not limited to parasitic infections and hypereosinophilic syndromes. Clinical correlation is required. | Eosinophilic cholecystitis may be idiopathic or associated with other conditions characterized by eosinophilia, including but not limited to parasitic infections and hypereosinophilic syndromes. Clinical correlation is required. | ||
</pre> | </pre> | ||
Latest revision as of 16:13, 10 March 2018
| Eosinophilic cholecystitis | |
|---|---|
| Diagnosis in short | |
 Eosinophilic cholecystitis. H&E stain. (WC) | |
|
| |
| LM | gallbladder wall with inflammatory infiltrate that is >90% eosinophils |
| Subtypes | (subtype of acute cholecystitis) |
| LM DDx | acute cholecystitis with eosinophils |
| Site | gallbladder |
|
| |
| Associated Dx | eosinophilic cholangitis, hypereosinophilic syndromes, parasitic infection |
| Signs | see acute cholecystitis |
| Prevalence | rare - case reports |
| Blood work | +/-eosinophilia |
| Prognosis | benign |
| Clin. DDx | acute cholecystitis |
| Treatment | cholecystectomy |
Eosinophilic cholecystitis is a rare type of cholecystitis.
General
- Rare - case reports.
- Clinical presentation like acute cholecystitis.[1][2]
- Eosinophilic cholangitis.
- Hypereosinophilic syndromes (HES).
- Parasitic infection.
Microscopic
Features:
DDx:
Images
EC - extremely low mag. (WC)
EC - very low mag. (WC)
EC - low mag. (WC)
EC - intermed. mag. (WC)
EC - high mag. (WC)
EC - very low mag. (WC)
EC - low mag. (WC)
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Gallbladder, Cholecystectomy: - Eosinophilic cholecystitis and cholelithiasis, see comment. Comment: Eosinophilic cholecystitis may be idiopathic or associated with other conditions characterized by eosinophilia, including but not limited to parasitic infections and hypereosinophilic syndromes. Clinical correlation is required.
Verbose
Gallbladder, Cholecystectomy:
- Eosinophilic cholecystitis and cholelithiasis, see comment.
Comment:
The histopathologic diagnosis of eosinophilic cholecystitis is in keeping with the clinical impression of acute cholecystitis.
Eosinophilic cholecystitis may be idiopathic or associated with other conditions characterized by eosinophilia, including but not limited to parasitic infections and hypereosinophilic syndromes. Clinical correlation is required.
See also
References
- ↑ 1.0 1.1 1.2 Shakov, R.; Simoni, G.; Villacin, A.; Baddoura, W. (2007). "Eosinophilic cholecystitis, with a review of the literature.". Ann Clin Lab Sci 37 (2): 182-5. PMID 17522376.
- ↑ del-Moral-Martínez, M.; Barrientos-Delgado, A.; Crespo-Lora, V.; Cervilla-Sáez-de-Tejada, ME.; Salmerón-Escobar, J. (Jan 2015). "Eosinophilic cholecystitis: an infrequent cause of acute cholecystitis.". Rev Esp Enferm Dig 107 (1): 45-7. PMID 25603333.
- ↑ 3.0 3.1 Choudhury, M.; Pujani, M.; Katiyar, Y.; Jyotsna, PL.; Rautela, A. (2014). "Idiopathic eosinophilic cholecystitis with cholelithiasis: a report of two cases.". Turk Patoloji Derg 30 (2): 142-4. doi:10.5146/tjpath.2014.01235. PMID 24638193.