title: Xanthogranulomatous cholangitis causing obstructive jaundice: a case report.
abstract: This article reports the case of a 34-year-old woman with xanthogranulomatous cholangitis who developed obstructive jaundice. Microscopically, the bile duct was surrounded and narrowed by a xanthogranulomatous lesion, but no xanthogranulomatous cholecystitis was seen. Although percutaneous cholangiograms done via the transhepatic biliary drainage showed smooth narrowing of the upper to middle bile duct, the cytology of bile was diagnosed as class V adenocarcinoma. Therefore, right extended hepatectomy and extrahepatic bile duct resection were performed. The differentiation of benign and malignant strictures at the hepatic hilum is often difficult. Xanthogranulomatous cholangitis is one possible diagnosis of a bile duct stricture. Precise review of all the preoperative information is required to make a correct diagnosis.
authors.affiliation: Department of Surgery, Gunma University Graduate School of Medicine, 3-39-22, Maebashi, Gunma 371-8511, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Kawate
authors.forename: Susumu
authors.initials: S
authors.lastname: Ohwada
authors.forename: Hayato
authors.initials: H
authors.lastname: Ikota
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Hamada
authors.forename: Kenji
authors.initials: K
authors.lastname: Kashiwabara
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Morishita
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology; D000328:Adult; D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000473:pathology; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D002761:Cholangitis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D015616:Histiocytosis, Non-Langerhans-Cell / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery