case 107: 43-year-old lady with severe upper abdominal pain
TRANSCRIPT
Laproscopic view of the gallbladder underneath the liver(air has been pumped in)
The surgeon aspirates the bile from the gall bladder
The vessels and cystic duct are identified and exposed
the cystic duct is cut after stapling both sides
The artery & vein are isolated and cut (make sure you don’t cut the hepatic artery or tear the portal vein!)
the gall bladder is dissected from the liver bed
Medium power view showing the numerous inflammatory cells, the identity of which cannot be discerned at this power.
Medium power microscopic section of the muscularis of the gallbladder showing infiltration by numerous
inflammatory cells.
Higher power photomicrograph of the same area showing vascular dilatation, and numerous neutrophils, eosinophils, and lymphocytes