[Xanthogranulomatous cholecystitis].
Ten cases of xanthogranulomatous cholecystitis are presented, 5 women and 5 men, from a total of 439 cholecystectomies (2.2%). In 50% of cases the clinical course was consistent with acute cholecystitis; in 30%, gallbladder cancer was suspected preoperatively; and in 70% of cases cancer was suspected during surgery but intraoperative biopsies showed no malignancy. Definitive pathological findings included early carcinoma of the gallbladder in two patients, and a cholecystocolic fistula in one patient. A perforated gallbladder was found in one patient. The incidence of postoperative septic complications was 18.1%, a figure that doubles that of elective biliary surgery in our hospital.
Rosell Pradas
J
J
Cátedra de Patología y Clínica Quirúrgicas, Hospital Universitario, Granada.
Andújar Sánchez
M
M
Martín Ruiz
J L
JL
Mantas Avila
J A
JA
Morales Valentín
O I
OI
Guerrero Fernández-Marcote
J A
JA
Vara Thorbeck
R
R
D000368:Aged; D000369:Aged, 80 and over; D002764:Cholecystitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005705:Gallbladder Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D006099:Granuloma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014973:Xanthomatosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery
Colecistitis xantogranulomatosa.