Ampullary xanthogranulomatous inflammation mimicking periampullary cancer: report of a case.
BACKGROUND
Xanthogranulomatous inflammation commonly affects the gallbladder. To date, there have been no reports of xanthogranulomatous inflammation of the ampulla.


METHODS
A 48-year-old female presented to us with fever, jaundice and a palpable gallbladder. Evaluation revealed features of periampullary malignancy. The patient underwent a Whipple's pancreaticoduodenectomy. Histopathology revealed a xanthogranulomatous inflammation affecting the ampulla and the gallbladder.


CONCLUSIONS
Xanthogranulomatous inflammation should be added to the differential diagnosis of patients presenting with a suspected periampullary lesion accompanied by a thick-walled gallbladder.
Pottakkat
Biju
B
Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.
Saxena
Rajan
R
Nag
Hirdaya Hulas
HH
Kumari
Neeraj
N
Krishnani
Narendra
N
D003937:Diagnosis, Differential; D004386:Duodenum / Q000601:surgery; D005260:Female; D005705:Gallbladder Diseases / Q000175:diagnosis; D015616:Histiocytosis, Non-Langerhans-Cell / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010180:Pancreatectomy; D010182:Pancreatic Diseases / Q000175:diagnosis* / Q000601:surgery