title: Simultaneous xanthogranulomatous cholecystitis and gallbladder cancer in a patient with a large abdominal aortic aneurysm.
abstract: There have been reports of the coexistence of abdominal aortic aneurysm (AAA) with intra-abdominal malignancy including gastric, colonic, pancreatic, and renal. We herein report a case of a previously undiagnosed AAA and a presenting complaint consistent with acute cholecystitis. Following cholecystectomy, this was noted to be a rare form of chronic cholecystitis: xanthogranulomatous cholecystitis. There is a known possible association of this uncommon condition with gallbladder cancer. The management of concomitant pathologies can present a real challenge to the multidisciplinary team, especially with large aneurysms.
authors.affiliation: Department of Surgery, North Middlesex University Hospital, London, UK. yalabed@yahoo.co.uk
authors.forename: Yahya
authors.initials: Y
authors.lastname: Al-Abed
authors.forename: Mohammed
authors.initials: M
authors.lastname: Elsherif
authors.forename: John
authors.initials: J
authors.lastname: Firth
authors.forename: Rudi
authors.initials: R
authors.lastname: Borgstein
authors.forename: Fiona
authors.initials: F
authors.lastname: Myint
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001706:Biopsy; D019917:Blood Vessel Prosthesis Implantation; D002763:Cholecystectomy; D002764:Cholecystitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D057510:Endovascular Procedures; D005260:Female; D005706:Gallbladder Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006099:Granuloma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014973:Xanthomatosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery