Diverticular disease (adenomyomatosis) of the gallbladder: a radiological-pathological survey.
Seventy consecutive gallbladders removed at surgery were examined radiologically and pathologically. Fifteen (21%) of the operative specimens showed naked-eye changes of adenomyomatosis. The main conclusions drawn from this study are that this abnormality is present in a much higher proportion of gallbladders removed at surgery than is generally realised, and that the pathogenesis is primarily an abnormality of muscle contractions, with a strong similarity to diverticular disease of the colon. Diverticular disease of the gallbladder might well be the most appropriate name for this condition. The results of a post-operative clinical assessment of patients with diverticular disease are also presented. But this represents a small number of patients and larger, perhaps multicentre, surveys would be required in order to assess the clinical significance of this interesting abnormality.
Williams
I
I
Slavin
G
G
Cox
A
A
Simpson
P
P
de Lacey
G
G
D000328:Adult; D000368:Aged; D002763:Cholecystectomy; D002765:Cholecystography; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000473:pathology; D004240:Diverticulum / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D004715:Endometriosis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005260:Female; D005704:Gallbladder / Q000473:pathology; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005706:Gallbladder Neoplasms / Q000000981:diagnostic imaging* / Q000469:parasitology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period