Gall bladder wall shows mild to moderate fibrosis with focal mucosal ulceration and dense infiltration by neutrophils, lymphocytes and plasma cells. Glands exhibit focal cystic dilatation and appear to be entrapped within muscular coat (RokitanskyAschoff sinuses). No evidence of atypia or malignancy.
Lymph node is free of tumor showing reactive follicular hyperplasia.
Acute Cholecystitis.
Gall bladder measured 11x4 cm, showing ulcerated mucosal lining, with wall thickness up to 0.8 cm. Lumen contained multiple stones yellowish brown in color, largest measured 1.3 cm. Surrounding fat measured 5x2.5 cm, containing one lymph node measured 0.6 cm.