Heterogenous wall thickening of gall blabber: xanthogranulomatous cholecystitis or carcinoma, with type 3 choledochal cyst.
Xanthogranulomatous cholecystitis is an unusual inflammatory disease of the gallbladder characterised by severe proliferative fibrosis and the accumulation of lipid-laden macrophages in areas of destructive inflammation. Its macroscopic appearance may occasionally be confused with gallbladder carcinoma. The authors present a case of xanthogranulomatous cholecystitis with type 3 choledochal cyst in a 20-year-old man who was referred to our hospital with a 1-week history of abdominal pain and fever. He underwent endoscopic sphincterotomy and then open cholecystectomy. A histological diagnosis of xanthogranulomatous cholecystitis was made.
Radiology Department, NHL MMC, Ahmedabad, India. parthtaylor@gmail.com
Parth
P
Darji
Gurudatt
G
Thakkar
Sanjay
S
Prajapati
D000328:Adult; D002277:Carcinoma / Q000175:diagnosis*; D002764:Cholecystitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D015529:Choledochal Cyst / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D005706:Gallbladder Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006099:Granuloma / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D014463:Ultrasonography; D014973:Xanthomatosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D055815:Young Adult