Xanthogranulomatous Cholecystitis Complicated with Cholecystocolonic Fistula.
- Author:
Hong Sik LEE
;
Hun Jai JEON
;
Chi Wok SONG
;
Sang Woo LEE
;
Jae Hyun CHOI
;
Chang Duck KIM
;
Ho Sang RYU
;
Jin Hai HYUN
- Publication Type:Original Article
- Keywords:
Xanthogranulomatous cholecystitis;
Cholecystocolonic fistula
- MeSH:
Bile;
Cholecystitis*;
Diagnosis, Differential;
Duodenum;
Fistula*;
Inflammation;
Skin;
Urinary Bladder
- From:Korean Journal of Gastrointestinal Endoscopy
1993;13(3):587-590
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Xanthogranulomatous cholecystitis is an uncommon inflammatory disease of the gall baldder characterised by a focal or diffuse destructive inflammatory process. The pathogenesis is uncertain, but an inflammatory response to extravasated bile due to acute inflammation and obstruction is likely. Macroscopically, the gall bladder wall is invariably thickened, and extensive adhesions to adjacent organs are frequent. Clinically, xanthogranulomatous cholecystitis can mimic gall bladder carcinoma and radiologic differential diagnosis is extremely difficult. Fistula to skin and duodenum was reported. We report the first case of cholecysto-colonic fistula due to xanthogranulomatous cholecystitis.
