Unusual Endoscopic Retrograde Cholangiographic Finding in a Case of Xanthogranulomatous Cholecystitis.
- Author:
Nak Weon LEE
1
;
Jin Seok JEON
;
Ki Ju HAN
;
Woo Bong CHOI
;
Je Ho OH
;
Young Chang LEE
;
Il Kwun CHUNG
;
Hong Soo KIM
;
Sang Heum PARK
;
Mun Ho LEE
;
Sun Joo KIM
;
Dae Joong KIM
Author Information
1. Department of Internal Medicine, Soon Chun Hyang Univerisity Medical College, ChunAn, Korea.
- Publication Type:Case Report
- Keywords:
Xanthogranulomatous cholecystitis
- MeSH:
Cholangiopancreatography, Endoscopic Retrograde;
Cholecystectomy;
Cholecystitis*;
Cholesterol;
Fibrosis;
Gallbladder;
Giant Cells;
Granuloma;
Histiocytes;
Inflammation;
Pyelonephritis, Xanthogranulomatous;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(1):122-128
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Xanthogranulomatous cholecystitis is a rare form of chronic gallbladder inflammation that is characterized by a severe proliferative fibrosis and has rarely been described in the radiologic literature. Like xanthogranulomatous pyelonephritis, it is an entirely benign but unusual expression of a reactive process and may be confused with a malignant neoplasm. Histologically, foamy histiocytes, multinucleated giant cells, other inflammatory cells, fibrous reaction with spindle cells, cholesterol cleft and noncaseating granuloma were found. Treatment of this benign inflammatory condition requires cholecystectomy to remove the focus of inflammation, control subsequent infection and relieve symptoms A case of xanthogranulomatous cholecystitis mimiking carcinoma of the gallbladder on abdominal USG, abdominal CT, and ERCP examination is presented with brief review of the literature.
