Journal of AdvancedMedical and Dental Sciences Research

Aim: To assess routine histopathology of gallbladder after elective cholecystectomy for gallstones in 94 patients. Methodology: 94 gall bladder specimens of either sex after elective cholecystectomy for gall stones were sent for histopathological examination. Routine histopathological examination with H and E stained slides were performed. Results: Age group 21-30 years comprised of 6 males and 5 females, 31-40 years had 11 males and 10 females, 41-50 years had 10 males and 12 females, 51-60 years had 5 males and 11 females, 61-70 years had 6 males and 12 females and >70 years had 2 males and 4 females. A non- significant difference was observed (P> 0.05). Common clinical features in patients were nausea and vomiting in 46 (48.9%), pain in upper abdomen in 80 (85.1%), intolerance to spicy food in 57 (60.6%) and mass in right hypochondrium in 28 (29.7%). A significant difference was observed (P< 0.05). Histopathological diagnosis was chronic cholecystitis in 42 (44.6%), acute cholecystitis with mucocele in 28 (29.7%), acute cholecystitis with empyema in 16 (17%), malignancy in 4 (4.2%) and polyp in 4 (4.2%) cases. A significant difference was observed (P< 0.05). Conclusion: Incidental diagnosis of carcinoma gallbladder is not uncommon, thus routine histopathology of all cholecystectomy specimens should be performed. The histopathological spectrum of gallbladder after cholecystectomy shows variation.