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  • Pathology Case A

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    dustpops
    14 vizualizări13 pagini
    Bile is supersaturated with cholesterol gallbladder hypomotility leads to nucleation cholesterol nucleation is accelerated Hypersecretion of mucus in gallbladder traps the nucleated crystals Aggregation into stones. Cholesterol Stones arise exclusively in the gallblade pure Cholesterol Stones +Pale yellow, round to ovoid and finely granular, hard external surface Pigment Stones Classified as: +Black Pigment Stones +Brown Pig

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    Bile is supersaturated with cholesterol gallbladder hypomotility leads to nucleation cholesterol nucleation is accelerated Hypersecretion of mucus in gallbladder traps the nucleated crystals Aggregation into stones. Cholesterol Stones arise exclusively in the gallblade pure Cholesterol Stones +Pale yellow, round to ovoid and finely granular, hard external surface Pigment Stones Classified as: +Black Pigment Stones +Brown Pig

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    Attribution Non-Commercial (BY-NC)
    Descărcați ca PPTX, PDF, TXT sau citiți online pe Scribd
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    14 vizualizări13 pagini

    Pathology Case A

    Încărcat de

    dustpops
    Bile is supersaturated with cholesterol gallbladder hypomotility leads to nucleation cholesterol nucleation is accelerated Hypersecretion of mucus in gallbladder traps the nucleated crystals Aggregation into stones. Cholesterol Stones arise exclusively in the gallblade pure Cholesterol Stones +Pale yellow, round to ovoid and finely granular, hard external surface Pigment Stones Classified as: +Black Pigment Stones +Brown Pig

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca PPTX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 13

    PATHOLOGY

    Normal Gallbladder

    Gallstones
    ‡ Two main types:

    Cholesterol Stones

    Pigment Stones

    Cholesterol Stones
    ‡ Formation involves four simultaneous conditions:
    1. 2. 3. 4. Bile is supersaturated with cholesterol Gallbladder hypomotility leads to nucleation Cholesterol nucleation is accelerated Hypersecretion of mucus in gallbladder traps the nucleated crystals Aggregation into stones

    Cholesterol Stones
    ‡ Arise exclusively in the gallbladder ‡ Pure cholesterol stones (rare)
    ± Pale yellow, round to ovoid & finely granular, hard external surface

    Pigment Stones
    ‡ Classified as:
    ± Black Pigment Stones ± Brown Pigment Stones

    Black Pigment Stones


    ‡ In sterile gallbladder bile ‡ Contain oxidized polymers of the calcium salts of unconjugated bilirubin

    Brown Pigment Stones


    ‡ In infected intrahepatic or extrahepatic ducts ‡ Contain pure calcium salts of unconjugated bilirubin

    Acute Cholecystitis

    Acute Cholecystitis

    Acute Cholecystitis

    Chronic Cholecystitis

    Chronic cholecystitis

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