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KMID : 0985520150200030156
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Korean Journal of Pancreas and Biliary Tract
2015 Volume.20 No. 3 p.156 ~ p.161
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Gastric Outlet Obstruction arising from Xanthogranulomatous Cholecystitis accompanied by both Cholecystoduodenal and Cholecystocolonic Fistulas
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Cho Hyo-Jin
Park Ju-Sang
Kim Jung-Hee
Jeon Dong-Ok
Kim Ki-Ho
Kwon Kye-Won
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Abstract
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Xanthogranulomatous cholecystitis (XGC) is a rare type of chronic inflammation of the gallbladder characterized by focal or diffuse destructive inflammatory responses. Although it is a benign condition, its destructive course may lead to more aggressive outcomes of the gallbladder, such as local infiltration, fistula, stricture, and perforation as compared with other gallbladder inflammations. There are reports about XGC accompanied by cholecystoenteric fistula. However, XGC accompanied by more than one cholecystoenteric fistula is rare. We report a case of a 54-year-old man with gastric outlet obstruction arising from XGC, accompanied by cholecystoduodenal fisula and cholecystocolonic fistula, but without impacted gallstones.
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KEYWORD
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Xanthogranulomatous cholecystitis, Cholecystoduodenal fistula, Cholecystocolonic fistula, Gastric outlet obstruction
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