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Article
January 1932

THE PATHOGENESIS OF THE "STRAWBERRY" GALLBLADDER: (CHOLESTEROSIS OF THE GALLBLADDER)

Arch Surg. 1932;24(1):14-22. doi:10.1001/archsurg.1932.01160130017002
Abstract

Moynihan,1 in 1909, first called attention to small yellowish spots like sand or grit on the mucosa of the gallbladder. In such cases he noticed also that the bile sometimes shimmered because of the presence of cholesterol crystals. In the following year, MacCarty,2 because of the appearance of the organ in these cases, used the descriptive term of "strawberry" gallbladder. Lichtwitz,3 in 1914, pictured a beautiful instance of the condition and stated that according to his surgical colleagues it was a not infrequent finding at operation. He was not aware that Moynihan and MacCarty had already described it before him. For a time its existence was generally overlooked, and it is true that such a gallbladder may, from its external appearance, seem quite normal and occasionally on microscopic section may show a minimum of inflammatory change. The gross appearance of the mucosa is striking, however, and in

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