{"id":20690,"date":"2021-09-02T20:13:44","date_gmt":"2021-09-02T12:13:44","guid":{"rendered":"https:\/\/medicine.nus.edu.sg\/pathweb\/?page_id=20690"},"modified":"2021-09-02T20:13:44","modified_gmt":"2021-09-02T12:13:44","slug":"hpb-case-29","status":"publish","type":"page","link":"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-29\/","title":{"rendered":"Hepatobiliary case 29"},"content":{"rendered":"\r\n\r\n\t<br \/>    <iframe loading=\"lazy\" src=\"https:\/\/medicine.nus.edu.sg\/pathweb\/wp-content\/uploads\/truview360\/Test_Yourself\/Hepatobiliary\/Gallbladder_Acute-on-chronic_cholecystitis_03582\/HTML5Viewer.html\" width=\"100%\" height=\"500\" scrolling=\"yes\" frameborder=\"0\"><\/iframe><br \/>\r\n\t\t\t<a href=\"#\" id=\"fl-accordion--label-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\">Clinical Vignette<\/a>\r\n\t\t\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--icon-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/a>\r\n\t\t<p>A 53 year old woman complained of right upper quadrant abdominal discomfort, particularly after a large meal, with recent increase in pain.<\/p>\r\n\t\t\t<a href=\"#\" id=\"fl-accordion--label-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\">Gross Description<\/a>\r\n\t\t\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--icon-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/a>\r\n\t\t<p>The gallbladder wall is thickened by oedema as well as by fibromuscular hyperplasia, as seen by the pale tan colour. Oedema is seen in acute cholecystitis, while fibromuscular hyperplasia is seen in chronic cholecystitis. Focal areas of mucosal congestion are present at the distal luminal aspect, with a suggestion of mucosal erosion, these features also indicate the presence of acute cholecystitis.<\/p>\r\n\t\t\t<a href=\"#\" id=\"fl-accordion--label-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\">Reveal Diagnosis<\/a>\r\n\t\t\t\t\t\t\t<a href=\"#\" id=\"fl-accordion--icon-0\" tabindex=\"0\" aria-controls=\"fl-accordion--panel-0\"><i>Expand<\/i><\/a>\r\n\t\t<p>&nbsp;<\/p>\r\n<p>Gallbladder &#8211; Acute on chronic cholecystitis<\/p>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\tTest Your Diagnostic Skills &#8211; Hepatobiliary and Pancreas\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/hepatobiliary-system-and-pancreas\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\tVirtual Pathology Museum &#8211; Hepatobiliary and Pancreas\r\n\t\t\t\t\t<\/a>\r\n\t\t\t<a href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/\" target=\"_self\" role=\"button\" rel=\"noopener\">\r\n\t\t\t\t\t\t\tMuseum Home\r\n\t\t\t<\/a>\r\n\r\n","protected":false},"excerpt":{"rendered":"<p>Clinical Vignette Expand A 53 year old woman complained of right upper quadrant abdominal discomfort, particularly after a large meal, with recent increase in pain. Gross Description Expand The gallbladder wall is thickened by oedema as well as by fibromuscular hyperplasia, as seen by the pale tan colour. Oedema is seen in acute cholecystitis, while [&hellip;]<\/p>\n","protected":false},"author":828,"featured_media":0,"parent":20464,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-20690","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NUS Pathweb<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicine.nus.edu.sg\/pathweb\/virtual-pathology-museum\/test-your-diagnostic-skills-hepato\/hpb-case-29\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:description\" content=\"Clinical Vignette Expand A 53 year old woman complained of right upper quadrant abdominal discomfort, particularly after a large meal, with recent increase in pain. Gross Description Expand The gallbladder wall is thickened by oedema as well as by fibromuscular hyperplasia, as seen by the pale tan colour. 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Gross Description Expand The gallbladder wall is thickened by oedema as well as by fibromuscular hyperplasia, as seen by the pale tan colour. 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