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Muhammad Sami Ullah¹, Shabbir Ahmed², Namra Naeem³, Munawar Hussain Shah¹, Aneeqa Naz⁴ and Rana Khalid Mahmood¹

ABSTRACT

Objective: To determine the frequency of gall bladder carcinoma incidentally diagnosed in patients undergoing routine laparoscopic cholecystectomy.

Study Design: Cross sectional study

Place and Duration of Study: This study was conducted at the Pathology Department of Nishtar hospital, Multan from January 2022 to January 2023.

Materials and Methods: A total of 240 simple laparoscopic cholecystectomy specimens from 240 patients were taken and sent for histopathological examination.  A detailed gross and microscopic examination was performed. All histological findings like Chronic Cholecystitis with Cholelithiasis, Chronic Cholecystitis, and acute on chronic Cholecystitis with Cholelithiasis were included. SPSS version 23 was used for data analysis.

Results: The most common histological diagnosis was chronic cholecystitis with cholelithiasis and chronic cholecystitis as 62.5% and 15.8%, respectively. There was no association between histological diagnosis and sex, (p=0.812). There were 6 (2.5%) patients who were diagnosed incidental gall bladder carcinoma.

Conclusion: Histopathological analysis of gall bladder specimens is highly essential in diagnosing and managing various gallbladder diseases. It helps in identifying the type and severity of the disease, which is essential for determining the appropriate treatment plan. A comprehensive clinical history and strong radiological correlation, coupled with detailed histopathological evaluation, can provide a more accurate diagnosis and ensure early detection, resulting in better prognosis for the patient.

Key Words: Cholelithiasis, Incidental carcinoma, Gall bladder, Cholecystectomy.

Citation of article: Sami Ullah M, Ahmed S, Naeem N, Shah MH, Naz A, Mahmood RK. Histopathological Diagnosis of Incidental Gall Bladder Carcinoma in Patients Undergoing Routine Laparoscopic Cholecystectomy. Med Forum 2023;34(4):46-49.