xanthogranulomatous cholecystitis

xan·tho·gran·u·lo·ma·tous cho·le·cys·ti·tis

chronic cholecystitis with conspicuous nodular infiltration by lipid macrophages; may be associated with biliary obstruction by calculi.
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Details of histopathological findings from 3423 cholecystectomy specimens Histopathological diagnosis Number Percent Chronic cholecystitis 2792 81.6 Acute cholecystitis 237 6.9 Empyema gallbladder 47 1.4 Gangrenous gallbladder 36 1.1 Cholesterolosis 223 6.5 Gallbladder polyp 2 0.1 Gallbladder diverticulum 2 0.1 Gallbladder adenoma 2 0.1 Porcelain gallbladder 2 0.1 Adenomyomatosis 67 2.0 Xanthogranulomatous cholecystitis 4 0.1 Dysplasia 5 0.1 Carcinoma 4 0.1 Total 3423 100.0 Table 2.
Xanthogranulomatous cholecystitis is a rare variant of chronic cholecystitis, which can involve adjacent organs including liver, colon and duodenum mimicking gallbladder cancer.
They include early-stage cancer and advanced cancer that has advanced to the SS stage or further, in addition to nonneoplastic lesions of the adenomyomatosis (ADM) and xanthogranulomatous cholecystitis (XGC) (Figures 1(c) and 1(d)).
Xanthogranulomatous cholecystitis (XGC) is an uncommon inflammatory disease of the gallbladder characterized by the infiltration of plasma cells, lipid-laden histiocytes, and the proliferation of fibroblasts in the gallbladder wall.
A right hypochondriac mass may be more common in Xanthogranulomatous Cholecystitis than in acute cholecystitis, mimicking carcinoma of the gallbladder.[6]
Cholesterolosis, xanthogranulomatous cholecystitis, benign polyps, pre-malignant and malignant conditions are the less common pathological entities6.
Xanthogranulomatous cholecystitis (XGC) is a benign, chronic inflammatory disease of the gallbladder.
Pseudoaneurysm of the Cystic Artery Associated with Xanthogranulomatous Cholecystitis. Dig Surg 2008;25:8-9.
A review of 40 cases of xanthogranulomatous cholecystitis suggests that the process in the gallbladder stems from an obstruction of the Rokitansky-Aschoff sinuses by inspissated bile followed by subsequent rupture and a xanthogranulomatous reaction.
Xanthogranulomatous cholecystitis: case report and review of literature.
A rare case of xanthogranulomatous cholecystitis preoperatively diagnosed with contrast-enhanced ultrasonography.
Xanthogranulomatous cholecystitis (XGC) is an inflammatory disease of the gallbladder, characterised by a focal/diffuse destructive inflammatory process followed by marked proliferative fibrosis along with infiltration of macrophages and foamy cells [1].