Korean J Gastroenterol.  2010 Jun;55(6):347-349. 10.4166/kjg.2010.55.6.347.

Steatocholecystitis

Affiliations
  • 1Department of Internal Medicine, Digestive Disease Center, Hanyang University College of Medicine, Seoul, Korea. choihsprof@gmail.com

Abstract

No abstract available.


MeSH Terms

Aged
Cholecystitis/*diagnosis/radiography/ultrasonography
Endosonography
Fatty Liver/pathology
Female
Humans
Recurrence
Tomography, X-Ray Computed

Figure

  • Fig. 1. Endosonographic findings. Gallbladder showed diffuse hy-perechoic wall thickening confined to the outer layer. The layers of the gallbladder wall were intact.

  • Fig. 2. Pathologic findings. Gallbladder was measured 7×4×2 cm in dimensions. The outer surface was smooth and glistening. Gallbladder wall was thickened with yellow fat deposit. The mucosal surface showed velvety appearance.

  • Fig. 3. Microscopic findings. Thickened subserosal fatty infiltration was noted, and the mucosol layer of gallbladder wall was intact and normal looking (H&E stain, ×40).


Reference

1. Johanning JM, Gruenberg JC. The changing face of cholecystectomy. Am Surg. 1998; 64:643–647.
2. Al-Azzawi HH, Nakeeb A, Saxena R, Maluccio MA, Pitt HA. Cholecystosteatosis: an explanation for increased cholecystectomy rates. J Gastrointest Surg. 2007; 11:835–842.
Article
3. Tsai CJ, Leitzmann MF, Willett WC, Giovannucci EL. Central adiposity, regional fat distribution, and the risk of cholecystectomy in women. Gut. 2006; 55:708–714.
Article
4. Pou KM, Massaro JM, Hoffmann U, et al. Visceral and sub-cutaneous adipose tissue volumes are cross-sectionally related to markers of inflammation and oxidative stress: The Framingham Heart Study. Circulation. 2007; 116:1234–1241.
5. You T, Nicklas BJ. Chronic inflammation: role of adipose tissue and modulation by weight loss. Curr Diabetes Rev. 2006; 2:29–37.
Article
6. Hotamisligil GS, Shargill NS, Spiegelman BM. Adipose expression of tumor necrosis factor-α: direct role in obe-sity-linked insulin resistance. Science. 1993; 259:87–91.
Article
7. Gilloteaux J, Tomasello LM, Elgison DA. Lipid deposits and lipo-mucosomes in human cholecystitis and epithelial meta-plasia in chronic cholecystitis. Ultrastruct Pathol. 2003; 27:313–321.
Article
8. Hendel HW, H⊘ jgaard L, Andersen T, et al. Fasting gall bladder volume and lithogenicity in relation to glucose toler-ance, total and intraabdominal fat masses in obese non-diabetic subjects. Int J Obes Relat Metab Disord. 1998; 22:294–302.
Article
9. Ruhl CE, Everhart JE. Association of diabetes, serum insulin, and C-peptide with gallbladder disease. Hepatology. 2000; 31:299–303.
Article
10. Goldblatt MI, Swartz-Basile DA, Al-Azzawi HH, Tran KQ, Nakeeb A, Pitt HA. Nonalcoholic Fatty gallbladder disease: the influence of diet in lean and obese mice. J Gastrointest Surg. 2006; 10:193–201.
Article
11. Goldblatt MI, Swartz-Basile DA, Svatek CL, et al. Decreased gallbladder response in leptin-deficient obese mice. J Gastrointest Surg. 2002; 6:438–444.
Article
12. Tran KQ, Goldblatt MI, Swartz-Basile DA, Svatek C, Nakeeb A, Pitt HA. Diabetes and hyperlipidemia correlate with gallbladder contractility in leptin-related murine obesity. J Gastrointest Surg. 2003; 7:857–863.
Article
13. Mathur A, Walker JJ, Al-Azzawi HH, et al. Ezetimibe ameli-orates cholecystosteatosis. Surgery. 2007; 142:228–233.
Article
14. Finzi L, Barbu V, Burgel PR, et al. MUC5AC, a gel-forming mucin accumulating in gallstone disease, is overproduced via an epidermal growth factor receptor pathway in the human gallbladder. Am J Pathol. 2006; 169:2031–2041.
Article
15. Wang HH, Afdhal NH, Gendler SJ, Wang DQ. Evidence that gallbladder epithelial mucin enhances cholesterol cholelitho-genesis in MUC1 transgenic mice. Gastroenterology. 2006; 131:210–222.
Article
Full Text Links
  • KJG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr