GI Section IV: GB Pathology Part 3: The Blood of Elves

Question 1

Adenomyomatosis vs Gallbladder Cholesterolosis

Answer 1

These things are actually different - and even though it makes zero difference clinically, this is just the kind of thing people who write questions love to write questions about.

Question 2

You have hypertrophied mucosa and muscularis propria, with the cholesterol crystals deposited in an intraluminal location within Rokitanskv- Aschoff sinuses

Answer 2

Gallbladder Adenomyomatosis

Question 3

Cholesterol and triglyceride deposition is within the substance of the lamina propria, and associated with formation of cholesterol polyps

Answer 3

Cholesterolosis

Question 4

Muscularis propia

Answer 4

GB adenomyomatosis

Question 5

Lamina propia

Answer 5

Cholesterolosis

Question 6

Adenomyomatosis

Answer 6

Hpyerplasia of GB wall + intramural diverticula + penetrates GB wall = cholesterol crystal filling = Comet tail artifact

Question 7

Intramural diverticula

Answer 7

Rokitansky-Aschoff sinuses

Question 8

3 types of adenomyomatosis

Answer 8

Segmental
Fundal
Generalized