Name of the Condition

• Cholesterolosis of the Gallbladder
• Also known as "Strawberry Gallbladder"

Summary

Cholesterolosis of the gallbladder is a condition where cholesterol deposits accumulate on the gallbladder wall, often resembling strawberry seeds, hence the nickname "strawberry gallbladder." It is usually asymptomatic and commonly discovered incidentally during imaging tests or gallbladder surgery.

Causes

• The exact cause is unknown, but it is associated with the imbalance of cholesterol metabolism in the gallbladder.

Risk Factors

• Obesity or overweight
• High cholesterol levels
• Metabolic syndrome
• Diets high in fat and cholesterol
• Sedentary lifestyle

Symptoms

• Generally asymptomatic
• If symptoms occur, they may include mild abdominal discomfort or typical symptoms of gallbladder diseases such as biliary colic.

Diagnosis

• Ultrasonography or MRI of the abdomen to identify cholesterol deposits.
• Occasionally confirmed during cholecystectomy (surgery to remove the gallbladder).

Treatment Options

• Typically, no specific treatment is required if asymptomatic.
• Lifestyle changes may be recommended to manage cholesterol levels.
• Surgical removal of the gallbladder (cholecystectomy) if symptomatic or if there are coexisting gallbladder issues.

Prognosis and Follow-Up

• Excellent prognosis with no intervention needed for asymptomatic cases.
• Regular follow-up may not be necessary unless other gallbladder conditions are present.

Complications

• Rarely, it may lead to gallstone formation or inflammation of the gallbladder.

Lifestyle & Prevention

• Maintain a healthy weight.
• Adopting a diet low in fat and cholesterol.
• Regular physical activity.
• Monitoring and managing blood cholesterol levels.

When to Seek Professional Help

• Seek medical attention for any persistent abdominal pain or digestive disturbances.
• Sudden onset of severe abdominal pain may require immediate medical evaluation.

Additional Resources

• American College of Gastroenterology (ACG)
• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
• Patient support groups for individuals with gallbladder conditions

Tips for Medical Coders

• Remember the specific ICD-10 code K82.4 for Cholesterolosis of the Gallbladder.
• Ensure correct documentation distinguishes it from other gallbladder conditions such as gallstones or cholecystitis.
• Verify imaging or surgical reports to confirm diagnosis for accurate coding.