The exact picture of gall bladder diseases in cholecystectomies is not known. In this study, the purpose is to report the morphologies and frequency of gall bladder diseases in 200 cholecystectomies lesions in the last two years in our pathology laboratory. The age of patients ranged from 22 year to 81 year. Male to female ratio was 1:4. Out of 200 cholecystectomies lesions 190 cases (95%) had gall stones. Out of these three (1.5%) were acute cholecystitis, 187(93.5%) were chronic cholecystitis four (4 cases) -(2%) were adenocarcinoma and 6 ( 3%) normal gall bladder. The frequency of histological lesions were: acute gangrenous inflammation (2 cases %), Rokitansky Aschoff sinuses (RAS) (140 cases 70%), microliths (40 cases 20%), Adenomyomatous changes (8 cases 4%), focal abscess formations ( 4 cases 2%).

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