| Author |
Yeon Jeong Ahn, Tae Hyo Kim, Sung Won Moon, Su Nyoung Choi, Hyun Jin Kim, Woon Tae Jung, Ok Jae Lee and Gyung Hyuck Ko1 |
| Place of duty |
Departments of Internal Medicine, Pathology1 and Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea |
| Title |
A Case of Perforated Xanthogranulomatous Cholecystitis Presenting as Biloma |
| Publicationinfo |
The Korean Journal of Gastroenterology 2011 Sep; 058(03): 153-156. |
| Key_word |
Perforated; Xanthogranulomatous cholecystitis; Laparoscopic cholecystectomy |
| Full-Text |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License
(http://creativecommons.org/licenses/by-nc/3.0/)
which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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| 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;58:153-156) |
| 저 자 |
안연정, 김태효, 문성원, 최수녕, 김현진, 정운태, 이옥재, 고경혁1 |
| 소 속 |
경상대학교 의학전문대학원 내과학교실, 병리학교실1, 건강과학연구원 |
| 제 목 |
복강내 담즙종으로 발현한 천공성 황색육아종성 담낭염 1예 |
| 출판정보 |
Korean J Gastroenterol 2011 Sep; 058(03): 153-156. |
