Polypoid gall bladder lesions: Is it necessary for immediate surgery?

Ultrasonographic study of hepatobiliary system was done in 481 patients with acute right hypochondriac pain tofind out any pathology in hepatobiliary system. A total of 57 patients with polypoid lesions in gall bladder werediagnosed and underwent extensive follow-up. In 31 patients, who underwent surgery, the histological findingswere cholesterol polyp/cholesterosis (n=14), cholesterosis with fibrous displasia of gall bladder (n=7),adenomyomatosis (n=3), hyperplastic cholecystosis (n=5) and adenocarcinoma (n=2). Remaining 26 patientswere under follow-up up to 18 months from first diagnosis. Though most of the polyps diagnosed on ultrasoundappeared to be benign without any risk of malignant transformation, it, however, may be recommended to go forsurgery in a persistent symptomatic patient.