Korean Journal of Pancreas and Biliary Tract  2015;20(3):156-161

doi:10.15279/kpba.2015.20.3.156

Gastric Outlet Obstruction arising from Xanthogranulomatous Cholecystitis accompanied by both Cholecystoduodenal and Cholecystocolonic Fistulas.

Hyo Jin CHO 1 ; Ju Sang PARK ; Jung Hee KIM ; Dong Ok JEON ; Ki Ho KIM ; Kye Won KWON

Affiliations

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Keywords

Xanthogranulomatous cholecystitis; Cholecystoduodenal fistula; Cholecystocolonic fistula; Gastric outlet obstruction

Country

Republic of Korea

Language

English

Abstract

Xanthogranulomatous cholecystitis (XGC) is a rare type of chronic inflammation of the gallbladder characterized by focal or diffuse destructive inflammatory responses. Although it is a benign condition, its destructive course may lead to more aggressive outcomes of the gallbladder, such as local infiltration, fistula, stricture, and perforation as compared with other gallbladder inflammations. There are reports about XGC accompanied by cholecystoenteric fistula. However, XGC accompanied by more than one cholecystoenteric fistula is rare. We report a case of a 54-year-old man with gastric outlet obstruction arising from XGC, accompanied by cholecystoduodenal fisula and cholecystocolonic fistula, but without impacted gallstones.