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.
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)).
(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.
Cholesterolosis, xanthogranulomatous cholecystitis
, benign polyps, pre-malignant and malignant conditions are the less common pathological entities6.
(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.
: case report and review of literature.
A rare case of xanthogranulomatous cholecystitis
preoperatively diagnosed with contrast-enhanced ultrasonography.
(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 .