1.Simultaneous Xanthogranulomatous Cholecystitis and Gallbladder Cancer in a Patient with a Large Abdominal Aortic Aneurysm.
Yahya AL-ABED ; Mohammed ELSHERIF ; John FIRTH ; Rudi BORGSTEIN ; Fiona MYINT
The Korean Journal of Internal Medicine 2012;27(3):338-341
There have been reports of the coexistence of abdominal aortic aneurysm (AAA) with intra-abdominal malignancy including gastric, colonic, pancreatic, and renal. We herein report a case of a previously undiagnosed AAA and a presenting complaint consistent with acute cholecystitis. Following cholecystectomy, this was noted to be a rare form of chronic cholecystitis: xanthogranulomatous cholecystitis. There is a known possible association of this uncommon condition with gallbladder cancer. The management of concomitant pathologies can present a real challenge to the multidisciplinary team, especially with large aneurysms.
Adenocarcinoma/*complications/radiography/secondary/surgery
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Aged
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Aortic Aneurysm, Abdominal/*complications/radiography/surgery
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Biopsy
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Blood Vessel Prosthesis Implantation
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Cholecystectomy
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Cholecystitis/*complications/pathology/radiography/surgery
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Endovascular Procedures
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Female
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Gallbladder Neoplasms/*complications/pathology/radiography/surgery
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Granuloma/*complications/pathology/radiography/surgery
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Humans
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Tomography, X-Ray Computed
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Treatment Outcome
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Xanthomatosis/*complications/pathology/radiography/surgery
2.Foreign Body Granulomas Simulating Recurrent Tumors in Patients Following Colorectal Surgery for Carcinoma: a Report of Two Cases.
Sang Won KIM ; Hyeong Cheol SHIN ; Il Young KIM ; Moo Joon BAEK ; Hyun Deuk CHO
Korean Journal of Radiology 2009;10(3):313-318
We report here two cases of foreign body granulomas that arose from the pelvic wall and liver, respectively, and simulated recurrent colorectal carcinomas in patients with a history of surgery. On contrast-enhanced CT and MR images, a pelvic wall mass appeared as a well-enhancing mass that had invaded the distal ureter, resulting in the development of hydronephrosis. In addition, a liver mass had a hypointense rim that corresponded to the fibrous wall on a T2-weighted MR image, and showed persistent peripheral enhancement that corresponded to the granulation tissues and fibrous wall on dynamic MR images. These lesions also displayed very intense homogeneous FDG uptake on PET/CT.
Adult
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Aged
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Colorectal Neoplasms/pathology/*surgery
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Contrast Media/diagnostic use
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Diagnosis, Differential
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Fluorodeoxyglucose F18/diagnostic use
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Granuloma, Foreign-Body/complications/*diagnosis
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Humans
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Hydronephrosis/etiology
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Image Enhancement/methods
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Liver/pathology/radionuclide imaging
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Liver Neoplasms/*diagnosis/secondary
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Magnetic Resonance Imaging
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Male
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Pelvic Neoplasms/*diagnosis/secondary
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Pelvis/pathology/radiography
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Positron-Emission Tomography
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Radiopharmaceuticals/diagnostic use
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Tomography, X-Ray Computed