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Surgery General f5a931bd

Cholecystectomy done in :

A
Symptomatic gallstones
B
Asymptomatic gallstones
C
G.B. Polyp
D
Strawberry G.B.
High-Yield Explanation
Ans. is 'a' i.e. Symptomatic gallstones The options in themselves are incomplete as explained below Management of GB polyp depends on various factors discribed in previous question. Asymptomatic GB polyp without any associated risk factors is followed up Symptomatic GB polyp or those > 1 cm in size, or associated with other risk factors undergo cholecystectomy Asymptomatic gall stones are usually followed up, but there are indications for cholecystectomy in asymptomatic gallstones as mentioned in a previous question. Asymptomatic strawberry gallbladder does not require cholecystectomy. Strawberry gallbladder or cholesterosis is caused by the accumulation of cholesterol in macrophages within the gallbladder wall. These submucosal deposits produce a fine yellow reticular pattern on a red background of mildly inflammed mucosa, providing an appearance like a strawberry. Some of the cholesterol deposits protrude like polyps and can be detected on ultrasound. There is no well defined symptom complex linked to this entity. Although frequently an incidental finding at postmoem, it is sometimes associated with vague dyspeptic complaints, the irritable bowel syndrome or recurrent . upper quadrant pain.

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