This transcript provides a detailed dictation of the gross examination of a cholecystectomy specimen submitted for cholecystitis. The gallbladder measured 9.2 x 3.1 x 2.2 cm and contained abundant dark green, viscous bile. Key findings included a wall thickness averaging 0.3 cm and a dark green, granular mucosa. Importantly, despite the clinical presentation of cholecystitis, the examination confirmed the complete absence of calculi (stones). Representative sections were taken from the cystic duct, neck, fundus, and body for submission in cassettes 1 and 2.
Gross Examination of Cholecystectomy Specimen
0:00:12 Specimen Indication: The specimen is a gallbladder removed for cholecystitis (inflammation of the gallbladder).
0:00:38 Physical Description: The specimen is an intact gallbladder measuring 9.2 x 3.1 x 2.2 cm. An attached 0.4 x 0.4 x 0.2 cm clamp (comma clamp) is noted.
0:01:37 External Features: The serosa is described as tan pink to purple and smooth, with minimal bile staining. The cystic duct is patent.
0:01:46 Internal Contents: Opening the gallbladder revealed abundant amounts of dark green, viscous bile.
0:01:49 Critical Negative Finding:No calculi (stones) were found within the gallbladder lumen.
0:01:53 Mucosa and Wall: The mucosa is dark green and granular. The average wall thickness is 0.3 cm.
0:02:00 Section Submission: Representative sections are submitted in cassettes 1 and 2.
0:02:32 Technical Instruction: The pathologist advises leaving the strips of gallbladder wall longer ("don't want little tidbits") to maximize surface area for processing.
0:02:44 Palpation Check: The specimen was palpated thoroughly to confirm no stones were hidden within the walls.
0:02:52 Section Locations: Sections taken included the cystic duct, gallbladder neck, fundus, and the mid-portion of the body.