Abstract More than a century ago, Rokitansky* mentioned hernia-like outpouchings of the gall-bladder mucosa. He described them as sometimes numerous and usually very small, commonly having narrow openings, and at times containing small concretions. Halpert,3 in 1927, declared these formations identical with the structures described by Aschoff in 1905 as Luschka's ducts and named them Rokitansky-Aschoff sinuses. These diverticula may extend to the muscular layer of the gall-bladder wall, may penetrate into the intermuscular lacunae, or may progress through the muscular wall into the underlying connective tissue, even reaching the serosa occasionally. Although structurally similar to diverticula of the small intestine, colon, and urinary bladder, they differ in their tendency toward folding and branching, a characteristic ascribed to the particular construction of the gall-bladder wall. Pathologicoanatomic study has demonstrated that these invaginations are more numerous, appreciably deeper, and more developed in chronically inflamed gall bladders than in normal gall bladders References 1. References 1 and 2. 2. In an addendum, Ross, Finby, and Evans6 stated that since their paper was submitted for publication they had seen five additional cases of intramural diverticulosis of the gall bladder demonstrated on cholecystography, but they gave no details. 3. References 7 and 8. 4. von Rokitansky, C.: Handbuch der speziellen pathologischen Anatomie , Wien, Braumüller und Seidel 1844, vol. 2, p. 374. 5. von Rokitansky, C.: Lehrbuch der pathologischen Anatomie: Spezielle Pathologie , Wien, W. Braumüller, 1861, vol. 3, p. 282. 6. Halpert, B.: Morphological Studies on the Gall Bladder: "True Luschka Ducts" and "Rokitansky-Aschob Sinuses" of Human Gall Bladder , Bull. Johns Hopkins Hosp. 41:77-103 ( (Aug.) ) 1927. 7. Robertson, H. E., and Ferguson, W. J.: Diverticula (Luschka's Crypts) of the Gall Bladder , Arch. Path. 40:312-333 ( (Nov.-Dec.) ) 1946. 8. March, H. C.: Visualization of the Rokitansky-Aschoff Sinuses of the Gall Bladder During Cholecystography , Am. J. Roentgenol. 59:197-203 ( (Feb.) ) 1948. 9. Ross, W. D.; Finby, N., and Evans, J. A.: Intramural Diverticulosis of the Gall Bladder (Rokitansky-Aschoff Sinuses) , Radiology 64:366-372 ( (March) ) 1955. 10. Robinson, B. W., and Peters, J. J.: Roentgen Visualization of Rokitansky-Aschoff Sinuses: A Case Report , Am. J. Roentgenol. 73:215-218 ( (Feb.) ) 1955. 11. DeAngelis, C. E., and Miller, J. E.: Rokitansky-Aschoff Sinuses of the Gall Bladder Demonstrated Roentgenographically: Report of a Case , Am. J. Roentgenol. 73:765-767 ( (May) ) 1955. 12. Åkerlund, Å., and Rudhe, U.: Intramural Small-Cystic Diverticulosis of the Gall Bladder , Acta radiol. 33:147-164 ( (Feb.) ) 1950.Crossref 13. Ackerman, A. J.: Diverticulosis of the Gall Bladder: Case Report , Am. J. Roentgenol. 60:256-259 ( (Aug.) ) 1948.
A.M.A. Archives Surgery – American Medical Association
Published: Nov 1, 1956
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