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Cholesterol Gallstones & Cholesterolosis

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Cholesterolosis (defined as accumulation of lipid-laden macrophages in the lamina propria of gallbladder) frequently coexists with cholesterol gallstones since both conditions are promoted by supersaturated bile. Macroscopically, there are diffusely arranged, bright yellow linear streaks in the background of green or red gallbladder mucosa. The resulting appearance has been referred to as strawberry gallbladder.

This image shows both cholesterolosis as well as several cholesterol gallstone. A detailed discussion of cholesterolosis is here. Image courtesy of: Dr. Jian-Hua Qiao; used with permission.

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