Gallbladder
Miscellaneous nontumor
Hydrops / mucocele


Topic Completed: 1 September 2012

Revised: 15 February 2019

Copyright: 2003-2019, PathologyOutlines.com, Inc.

PubMed Search: Hydrops mucocele

Hanni Gulwani, M.B.B.S.
Page views in 2018: 2,636
Page views in 2019 to date: 1,976
Cite this page: Gulwani H Hydrops / mucocele. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/gallbladderhydrops.html. Accessed August 21st, 2019.
Definition / general
  • Distended gallbladder containing clear and watery (hydrops) or mucoid secretions (mucocele), instead of bile
  • Adult cases almost always due to impacted stones in ampulla or cystic duct
  • Rarely due to regional tumors causing compression
  • Pediatric cases associated with Kawasaki syndrome or other inflammatory narrowing of cystic duct
  • Mucoceles that perforate may cause pseudomyxoma peritonei
Case reports
Gross description
  • Thickened gallbladder wall
Microscopic (histologic) description
Adults:
  • Fibrous replacement of muscular wall
  • Rarely muciphages simulating signet ring cell adenocarcinoma

Children:
  • Thin wall with flattened epithelium and sparse inflammation
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