胃肠道出现淋巴滤泡性炎症较多见,但在胆囊中出现此类炎疵较少见。我院遇见1例报告如下: 患者,女性,60岁。阵发性右上腹绞痛伴发冷发烧7～8天入院。既往有类似疼痛史半年。体检:右上腹有固定性深压痛。化验II10u,GPT138u,B超提示胆囊炎。于1985年10月手术,见胆总管内结石2块,圆形,直径1cm,黄色,摘除胆囊送病检。病检:大体:胆囊甚小,4×2.0×1.5cm,表面灰褐色,临床已剖开,胆囊内残留少量胆汁,壁厚0.3～0.5cm,内壁呈灰白色颗粒状凸起,略高出内膜表面。镜下:胆囊壁厚薄不均,粘膜上皮呈单层柱状,排列较乱,部分出血、坏死、脱落,粘膜腺增生深入粘膜下及粘膜肌层,Aschoff窦少许呈扩张状,肌层排列较杂乱,各层皆有浆细胞,淋巴细胞,嗜酸性白细 The presence of lymphoid follicular inflammation in the gastrointestinal tract is more common, but the occurrence of such inflammation in the gallbladder is less common. Our hospital met a case report as follows: Patients, female, 60 years old. Paroxysmal right upper quadrant colic with cold fever 7-8 days admission. Past history of similar pain for six months. Physical examination: Fixed deep tenderness in the right upper quadrant. Test II10u, GPT138u, B ultrasound prompted cholecystitis. In October 1985, surgery, see two stones in the common bile duct, round, 1cm in diameter, yellow, remove the gallbladder to send a medical examination. Disease examination: General: The gallbladder is very small, 4 × 2.0 × 1.5cm, grayish brown surface, the clinical section has been opened, a small amount of residual bile in the gallbladder, the wall thickness of 0.3 ~ 0.5cm, the inner wall is grayish white granular raised, slightly higher Film surface. Microscopically, the thickness of the gallbladder wall was uneven, and the mucosal epithelium showed a single columnar arrangement with disordered hemorrhage, necrosis, and shedding. Mucosal glandular hyperplasia penetrated submucosa and mucosal muscular layer. Aschoff sinus was slightly dilated, and the muscles were arranged more disorderly. All layers have plasma cells, lymphocytes, eosinophilic