Investigations
During pathologic examination, gallbladder measured 9cm x 4cm containing
multiple small yellowish stones. The mucosa was green, and the maximum
wall thickness was 2mm. An area of wall thickening measuring 7mm x 4mm x
3mm was noted in the neck region of the gallbladder. Microscopic
examination revealed characteristics indicative of acute gangrenous
cholecystitis. Regarding the wall thickening in the neck area described
macroscopically, histopathology confirmed the presence of heterotopic
pancreatic tissue composed of acini and ducts (exocrine pancreatic
tissue only; no islets of Langerhans were detected). There was no
evidence of malignancy or dysplasia in any of the sections examined.