60

Published on 03/05/2015 by admin

Filed under Gastroenterology and Hepatology

Last modified 03/05/2015

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CASE 60

image

History: A 54-year-old man presents with right upper quadrant abdominal pain and an episode of jaundice.

1. Which of the following should be included in the differential diagnosis of the imaging finding shown in the figure? (Choose all that apply.)

A. Adenyomatosis

B. Gallbladder diverticulosis

C. Adenomyomatous hyperplasia

D. Intramural pseudodiverticulosis

E. Cholecystitis glandularis proliferans

2. What is the underlying pathologic process in adenomyomatosis of the gallbladder?

A. Benign glandular tumors derived from biliary tract epithelium

B. Proliferation of the smooth muscle and infolding of the mucosa

C. Granulation and fibrous tissue with plasma cells and lymphocytes

D. Accumulation of lipids within macrophages in the gallbladder wall with enlarged villi

3. What is the long-term complication of adenomyomatosis of the gallbladder?

A. Cancer

B. Cholelithiasis

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