Cholesterolosis of the gall bladder: a surgical dilemma

Authors

  • Ketan Vagholkar Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra http://orcid.org/0000-0002-3824-0531
  • Shantanu Chandrashekhar Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra
  • Shashwat Singh Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra
  • Narender Narang Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra
  • Anjali Bhadavankar Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra

DOI:

https://doi.org/10.18203/2349-2902.isj20205409

Keywords:

Gall bladder, Polyps, Cholesterolosis, Treatment

Abstract

Cholesterolosis of the gall bladder or cholesterol polyps of the gall bladder have always been a contentious issue with respect to the role of prophylactic surgery in view of its asymptomatic state. Symptomatic cholesterol polyps behave similar to gall stones. There is therefore a need for a surgical algorithm to manage these lesions. A case of symptomatic cholesterol polyps of the gall bladder is reported to highlight the clinical presentation, imaging modalities and management strategies. Symptomatic cholesterol polyps of the gall bladder necessitate cholecystectomy. However, surgical intervention for asymptomatic polyps is guided by their size. Increased diameter is highly suspicious of a malignant potential requiring pre-operative staging and radical surgery.

Metrics

Metrics Loading ...

Author Biographies

Ketan Vagholkar, Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra

PROFESSOR

DEPARTMENT OF GENERAL SURGERY

Shantanu Chandrashekhar, Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra

Senior Resident.

Department of Surgery

Shashwat Singh, Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra

 Resident.

Department of Surgery

Narender Narang, Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra

 Resident.

Department of Surgery

Anjali Bhadavankar, Department of Surgery, D. Y. Patil University School of Medicine, Navi Mumbai, Maharashtra

 Resident.

Department of Surgery

References

Noda A, Ibuki E, Takeuchi K, Okuyama M. Cholesterosis (cholesterolosis) of the gallbladder. Ryoikibetsu Shokogun Shirizu. 1996;9:444-7.

Il'chenko AA, Orlova I. Cholesterosis of the gallbladder: review of literature. Experiment Clinic Gastroenterol. 2003(6):83.

Khnokh LI, Il'ina TP. Kholesteroz zhelchnogo puzyria. Cholesterosis of the gallbladder. Khirurgiia. 1986;7:26-8.

Ivanchenkova RA, Izmaílova TF, Metel'skaia VA, Lemina TL, Gurevich RN, Chebanov SM, et al. Kholesteroz zhelchnogo puzyria. Klinika, diagnostika, lechenie. Cholesterosis of gallbladder: clinical, diagnostic and therapeutic aspects. Klin Med. 1997;75(5):46-51.

Sandri L, Colecchia A, Larocca A, Vestito A, Capodicasa S, Azzaroli F, et al. Gallbladder cholesterol polyps and cholesterolosis. Minerva Gastroenterol Dietol. 2003;49(3):217-24.

Jørgensen T, Jensen KH. Polyps in the gallbladder. A prevalence study. Scand J Gastroenterol. 1990;25(3):281-6.

Myers RP, Shaffer EA, Beck PL. Gallbladder polyps: epidemiology, natural history and management. Can J Gastroenterol. 2002;16(3):187-94.

Lee KF, Wong J, Li JC, Lai PB. Polypoid lesions of the gallbladder. Am J Surg. 2004;188(2):186-90.

Bang S. Natural course and treatment strategy of gallbladder polyp. Kore J Gastroenterol. 2009;53(6):336-40.

Puneet, Ragini R, Gupta SK, Singh S, Shukla VK. Management of polypoidal lesions of gallbladder in laparoscopic era. Trop Gastroenterol. 2005;26(4):205-10.

Downloads

Published

2020-12-28

How to Cite

Vagholkar, K., Chandrashekhar, S., Singh, S., Narang, N., & Bhadavankar, A. (2020). Cholesterolosis of the gall bladder: a surgical dilemma. International Surgery Journal, 8(1), 375–377. https://doi.org/10.18203/2349-2902.isj20205409

Issue

Section

Case Reports