|
KMID : 0614620110580030153
|
|
Korean Journal of Gastroenterology
2011 Volume.58 No. 3 p.153 ~ p.156
|
|
|
A Case of Perforated Xanthogranulomatous Cholecystitis Presenting as Biloma
|
|
Ahn Yeon-Jeong
Kim Tae-Hyo
Moon Sung-Won
Choi Su-Nyoung
Kim Hyun-Jin
Jung Woon-Tae
Lee Ok-Jae
Ko Gyung-Hyuck
|
|
|
Abstract
|
|
|
|
Xanthogranulomatous cholecystitis is an unusual inflammatory disease of the gallbladder characterized 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. We present a case of perforated xanthogranulomatous cholecystitis presenting as biloma. An 80-year-old woman was referred to our hospital with a 1-week history of abdominal pain and febrile sensation. Abdominal CT showed a biloma in the subhepatic area. The follow-up CT showed that the biloma increased in size. Therefore, ultrasonography-guided aspiration was performed. The aspirated fluid/serum bilirubin ratio was greater than 5, which was strongly suggestive of bile leakage complicated by perforated cholecystitis. She underwent a laparoscopic cholecystectomy with cyst aspiration and adhesiolysis. A histological diagnosis of perforated xanthogranulomatous cholecystitis was made. (Korean J Gastroenterol 2011;58: 6-156)
|
|
|
KEYWORD
|
|
|
Perforated, Xanthogranulomatous cholecystitis, Laparoscopic cholecystectomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|