Difference between revisions of "Eosinophilic cholecystitis"

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{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Eosinophilic cholecystitis -- intermed mag.jpg
| Width      =
| Caption    = Eosinophilic cholecystitis. [[H&E stain]]. (WC)
| Synonyms  =
| Micro      = gallbladder wall with inflammatory infiltrate that is >90% [[eosinophil]]s
| Subtypes  = (subtype of acute cholecystitis)
| LMDDx      = [[acute cholecystitis]] with eosinophils
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      =
| Grossing  =
| Staging    =
| Site      = [[gallbladder]]
| Assdx      = eosinophilic cholangitis, gypereosinophilic syndromes, parasitic infestations
| Syndromes  =
| Clinicalhx =
| Signs      = see ''[[acute cholecystitis]]''
| Symptoms  =
| Prevalence = rare - case reports
| Bloodwork  =
| Rads      =
| Endoscopy  =
| Prognosis  = benign
| Other      =
| ClinDDx    = [[acute cholecystitis]]
| Tx        = cholecystectomy
}}
'''Eosinophilic cholecystitis''' is a rare type of [[cholecystitis]].
'''Eosinophilic cholecystitis''' is a rare type of [[cholecystitis]].


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==Microscopic==
==Microscopic==
Features:
Features:
*Gallbladder wall with inflammtory infiltrate that is >90% eosinophils.<ref name=pmid17522376>{{Cite journal  | last1 = Shakov | first1 = R. | last2 = Simoni | first2 = G. | last3 = Villacin | first3 = A. | last4 = Baddoura | first4 = W. | title = Eosinophilic cholecystitis, with a review of the literature. | journal = Ann Clin Lab Sci | volume = 37 | issue = 2 | pages = 182-5 | month =  | year = 2007 | doi =  | PMID = 17522376 }}</ref><ref name=pmid24638193>{{Cite journal  | last1 = Choudhury | first1 = M. | last2 = Pujani | first2 = M. | last3 = Katiyar | first3 = Y. | last4 = Jyotsna | first4 = PL. | last5 = Rautela | first5 = A. | title = Idiopathic eosinophilic cholecystitis with cholelithiasis: a report of two cases. | journal = Turk Patoloji Derg | volume = 30 | issue = 2 | pages = 142-4 | month =  | year = 2014 | doi = 10.5146/tjpath.2014.01235 | PMID = 24638193 }}</ref>
*Gallbladder wall with inflammatory infiltrate that is >90% eosinophils.<ref name=pmid17522376>{{Cite journal  | last1 = Shakov | first1 = R. | last2 = Simoni | first2 = G. | last3 = Villacin | first3 = A. | last4 = Baddoura | first4 = W. | title = Eosinophilic cholecystitis, with a review of the literature. | journal = Ann Clin Lab Sci | volume = 37 | issue = 2 | pages = 182-5 | month =  | year = 2007 | doi =  | PMID = 17522376 }}</ref><ref name=pmid24638193>{{Cite journal  | last1 = Choudhury | first1 = M. | last2 = Pujani | first2 = M. | last3 = Katiyar | first3 = Y. | last4 = Jyotsna | first4 = PL. | last5 = Rautela | first5 = A. | title = Idiopathic eosinophilic cholecystitis with cholelithiasis: a report of two cases. | journal = Turk Patoloji Derg | volume = 30 | issue = 2 | pages = 142-4 | month =  | year = 2014 | doi = 10.5146/tjpath.2014.01235 | PMID = 24638193 }}</ref>


DDx:
DDx:

Revision as of 03:40, 7 July 2016

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, gypereosinophilic syndromes, parasitic infestations
Signs see acute cholecystitis
Prevalence rare - case reports
Prognosis benign
Clin. DDx acute cholecystitis
Treatment cholecystectomy

Eosinophilic cholecystitis is a rare type of cholecystitis.

General

Clinical associations:[1][3]

  • Eosinophilic cholangitis.
  • Hypereosinophilic syndromes (HES).
  • Parasitic infestations.

Microscopic

Features:

  • Gallbladder wall with inflammatory infiltrate that is >90% eosinophils.[1][3]

DDx:

Sign out

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.

See also

References

  1. 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.
  2. 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. 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.