Follicular Cholecystitis with Cholelithiasis: A Rare Case Report

Abstract

BackgroundFollicular hyperplasia of the gall bladder is an extremely rare and benign entity characterized by hyperplastic lymphoid follicle with germinal center consisting of the lymphoid population. MaterialsWe were reported a rare case of follicular hyperplasia of gall bladder in a 36 yr old female presented in the department of surgery with a right side upper abdomen pain, then she was diagnosed as cholecystitis and managed by cholecystectomy and specimen was received and processed for histopathological examination. ResultsDue to chronic cholecystitis patient present with right upper abdominal pain and upon histopathological examination diagnosed incidently as follicular cholecystitis. ConclusionHistopathological examination reveals a rare case of follicular cholecystitis. Key-wordsFollicular cholecystitis, Gall Bladder, Pseudolymphoma INTRODUCTION Gall Bladder diseases are a significant cause of morbidity and mortality. Diseases affecting the gall bladder comprise a wide spectrum of diseases including nonspecific inflammatory diseases, acute & chronic cholecystitis, granulomatous cholecystitis, follicular cholecystitis, gall bladder polyp, carcinoma pseudolymphoma. Follicular Cholecystitis is a condition in which there is a formation of numerous prominent lymphoid follicles in lamina propria throughout the gall bladder, creating a pseudolymphoma pattern. Follicle can be present throughout, the wall but most commonly seen in mucosal layer. Follicular cholecystitis constitutes less than 2% of cholecystectomies . This condition also occurs in lungs, orbit, skin and GIT. It has been mentioned in literature that lymphoid hyperplasia, pseudolymphoma and follicular cholecystitis are some of the terms which describes the same lesion of the gall bladder . We describe a rare case of follicular cholecystitis diagnosed incidently in 36 years old female in a routine cholecystectomy specimen. Access this article online Quick Response Code Website: