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KMID : 0359019930130030587
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Korean Journal of Gastrointestinal Endoscopy
1993 Volume.13 No. 3 p.587 ~ p.590
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Xanthogranulomatous Cholecystitis Complicated with Cholecystocolonic Fistula
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이홍식
전훈재/송치욱/이상우/최재현/김창덕/류호상/현진해
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Abstract
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Xanthogranulomatous cholecystitis is an uncommon inflammatory disease of the gall baldder characterised by a focal or diffuse destructive inflammatory process. The pathogenesis is uncertain, but an inflammatory response to extravasated bile due
to
acute
inflammation and obstruction is likely. Macroscopically, the gall bladder wall is invariably thickened, and extensive adhesions to adjacent organs are frequent. Clinically, xanthogranulomatous cholecystitis can mimic gall bladder carcinoma and
radiologic differential diagnosis is extremely difficult. Fistula to skin and duodenum was reported. We report the first case of cholecysto-colonic fistula due to xanthogranulomatous cholecystitis.
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