The Korean Journal of Internal Medicine  2012;27(3):338-341

doi:10.3904/kjim.2012.27.3.338

Simultaneous Xanthogranulomatous Cholecystitis and Gallbladder Cancer in a Patient with a Large Abdominal Aortic Aneurysm.

Yahya AL-ABED 1 ; Mohammed ELSHERIF ; John FIRTH ; Rudi BORGSTEIN ; Fiona MYINT

Affiliations

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Keywords

Xanthogranulomatous cholecystitis; Gallbladder neoplasms; Aortic aneurysm, abdominal

Country

Republic of Korea

Language

English

Abstract

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.