Chronic cholecystitis with follicular lymphoid hyperplasia: nomenclature and diagnostic dilemmas

Alka Dixit Vats; Vertika Gupta; Monica Mehendiratta; Nitika Anand

doi:10.18203/2320-6012.ijrms20190921

Authors

Alka Dixit Vats Department of Pathology, ITS Dental College & Hospital, Greater Noida, Uttar Pradesh, India
Vertika Gupta Department of Pathology, ITS Dental College & Hospital, Greater Noida, Uttar Pradesh, India
Monica Mehendiratta Department of Oral Pathology, ITS Dental College & Hospital, Greater Noida, Uttar Pradesh, India
Nitika Anand Department of Microbiology, ITS Dental College & Hospital, Greater Noida, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20190921

Keywords:

Cholecystitis, Gall bladder, Follicular hyperplasia, Lymphoid hyperplasia, Lymphoplasmacytic cholecystitis

Abstract

Background: To revisit the nomenclature, prevalence, histogenesis and the diagnostic dilemmas in cases of cholecystitis with lymphoid hyperplasia received in a private laboratory in one-year duration.

Methods: A total of 51 cases of cholecystectomy were examined histopathologically to identify and review all the cases with emphasis on cholecystitis with marked lymphoid infiltration.

Results: Out of 51 cholecystectomy specimens, some rare entities were observed such as 4 cases (8%) of xanthomatous change, 2 cases (4%) of cholecystitis with follicular lymphoid hyperplasia and a case of hyalinizing cholecystitis.

Conclusions: The literature on cholecystitis with marked lymphoid infiltrate (with or without follicle formation) was overlapping and thus confusing. The same has been simplified with review of literature.

Metrics

Metrics Loading ...

References

Prasaad PR, Shekhar S, Priyadharshini SA. Isolated non-necrotising granulomatous vasculitis of the gall bladder-a rare entity. JCDR. 2014;8(10):FD01.

Legorreta AP, Silber JH, Costantino GN, Kobylinski RW, Zatz SL. Increased cholecystectomy rate after the introduction of laparoscopic cholecystectomy. JAMA. 1993;270(12):1429-32.

Albores-Saavedra J, Gould E, Manivel-Rodríguez C, Angeles-Angeles A, Henson DE. Chronic cholecystitis with lymphoid hyperplasia, Rev Invest Clin. 1989;41(2):159-64.

Winn WC, Jr, Allen SD, Janda WM, Koneman EW, Procop GW, Schreckenberger PC, et al. Koneman's Color Atlas and Textbook of Diagnostic Microbiology. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2006.

Collee JG, Duguid JP, Frase AG, Marmion BP, Simmons A. Laboratory strategy in the diagnosis of infective syndromes. In: Collee JG, Duguid JP, Frase AG, Marmion BP, Simmons A, editors. Mackie and MacCartney practical medical microbiology. 14th ed. New York: Churchill Livingstone; 1999:84-90.

Raptopoulos V, Compton CC, Doherty P, Smith EH, D'Orsi CJ, Patwardhan NA, et al. Chronic acalculous gallbladder disease: multiimaging evaluation with clinical-pathologic correlation. AJR Am J Roentgenol. 1986;147:721-4.

Hale MD, Roberts KJ, Hodson J, Scott N, Sheridan M, Toogood GJ. Xanthogranulomatous cholecystitis: a European and global perspective. HPB. 2014;16(5):448-58.

Hasan M, Saeed N, Rafey M, Barkatullah I. Hyalinizing cholecystitis: a rare subtype of chronic cholecystitis. IABCR. .2017;3(2):7.

Suntrea TG, Hammer MD, Henry D, Appelman MD. Sporadic lymphoplasmacytic cholecystitis: a clinicopathologic entity. Am J Clin Pathol. 2014;142(2):209-12.

Singh M, Vishwakarma I, Kumar J, Omhare A, Mishra V, Verma YN. Follicular cholecystitis with cholelithiasis: a rare case report. Int J Life Sci Scienti Res. 2017;3(5):1408-10.

Rana S, Jairajpuri ZS, Khan S, Hassan MJ, Jetley S. Gall bladder lymphoid hyperplasia: Masquerading as lymphoma. J Can Res Ther. 2014;10:749-51.

Gulwani H. Chronic cholecystitis. PathologyOutlines.com. Available at: http://www.pathologyoutlines.com/topic/gallbladderchroniccholecystitis.html. Accessed 3 December 2018.

Hatae Y, Kikuchi M. Lymph follicular cholecystitis. Acta Pathol J pn. 1979;29(1):67-72.

Coad JE, Carlson J, Jessurun J. Microdiverticulosis (Rokitansky-Aschoff" sinusosis") in patients with biliary dyskinesia (BD). Mod Pathol. 1999;12:73.

Jessurun J. Lymphocytic cholecystitis/cholangitis. Am J Clin Pathol. 2015 Jan 1;143(1):36-41.

Rubio CA, Sjödahl K, Lagergren J. Lymphocytic esophagitis: a histologic subset of chronic esophagitis. Am J Clin Pathol. 2006 Mar 1;125(3):432-7.

Vanderhoof JA, Young RJ. Allergic disorders of the gastrointestinal tract. Curr Opin Clin Nutr Metab Care. 2001;4:553-6 .

Hayat M, Arora DS, Wyatt JI, O'mahony S, Dixon MF. The pattern of involvement of the gastric mucosa in lymphocytic gastritis is predictive of the presence of duodenal pathology. J Clin Patho. 1999 Nov 1;52(11):815-9.

Jevon GP, Dimmick JE, Dohil R, Hassall EG. Spectrum of gastritis in celiac disease in childhood. Pediatric Developmental Pathol. 1999 Mar 1;2(3):221-6.

Wolber R, Owen D, Reeman H. Colonic lymphocytosis in patients with celiac sprue. Hum Pathol. 1990;21:1092-96 .

Fine KD, Lee EL, Meyer RL. Colonic histopathology in untreated celiac sprue: is it lymphocytic colitis or colonic lymphocytosis. Hum Pathol. 1998;29:1433-40.