대한소화기학회로고
 
 
 
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
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.
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.
Copyright©2008 The Korean Society of Gastroenterlogy. All Rights Reserved.
Room 305, 31 Seolleung-ro 86 gil, Gangnam-gu, Seoul, 135-839, Korea
TEL:+82-2-538-0627 | FAX:+82-2-538-0635 | E-MAIL:gastrokorea@kams.or.kr