A Case of Perforated Xanthogranulomatous Cholecystitis Presenting as Biloma.
10.4166/kjg.2011.58.3.153
- Author:
Yeon Jeong AHN
1
;
Tae Hyo KIM
;
Sung Won MOON
;
Su Nyoung CHOI
;
Hyun Jin KIM
;
Woon Tae JUNG
;
Ok Jae LEE
;
Gyung Hyuck KO
Author Information
1. Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea. kimthy@medimail.co.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Perforated;
Xanthogranulomatous cholecystitis;
Laparoscopic cholecystectomy
- MeSH:
Aged, 80 and over;
Bilirubin/blood;
Cholecystectomy;
Cholecystitis/*diagnosis/pathology/ultrasonography;
Drainage;
Female;
Gallbladder Neoplasms/diagnosis;
Granuloma/*diagnosis/pathology/ultrasonography;
Humans;
Tomography, X-Ray Computed;
Xanthomatosis/*diagnosis/pathology/ultrasonography
- From:The Korean Journal of Gastroenterology
2011;58(3):153-156
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Xanthogranulomatous cholecystitis is an unusual inflammatory disease of the gallbladder characterized by severe proliferative fibrosis and the accumulation of lipid-laden macrophages in areas of destructive inflammation. Its macroscopic appearance may occasionally be confused with gallbladder carcinoma. We present a case of perforated xanthogranulomatous cholecystitis presenting as biloma. An 80-year-old woman was referred to our hospital with a 1-week history of abdominal pain and febrile sensation. Abdominal CT showed a biloma in the subhepatic area. The follow-up CT showed that the biloma increased in size. Therefore, ultrasonography-guided aspiration was performed. The aspirated fluid/serum bilirubin ratio was greater than 5, which was strongly suggestive of bile leakage complicated by perforated cholecystitis. She underwent a laparoscopic cholecystectomy with cyst aspiration and adhesiolysis. A histological diagnosis of perforated xanthogranulomatous cholecystitis was made.
