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Xanthogranulomatous cholecystitis resembling carcinoma with extensive tumorous infiltration of the liver and colon

Langenbeck's Archives of Surgery volume 388, pages 48–51 (2003)Cite this article

Abstract

Background

Xanthogranulomatous cholecystitis is a macrophage-rich inflammatory condition of the gallbladder that occasionally presents with tumorlike appearance.

Case presentation

In the present case the inflammation involved all the layers of the gallbladder, the surrounding connective tissue, and part of the right lobe of the liver and right transverse colon. The clinical and radiological findings were suggestive of advanced carcinoma of the gallbladder. However, intraoperative frozen section investigation revealed xanthogranulomatous cholecystitis, for which simple cholecystectomy is the treatment of choice.

Conclusions

The original cause of the condition is unclear in most cases. In the present case it is possible that rupture of the gallbladder in association with the patient's known history of trauma have initiated the process

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Author information

Affiliations

  1. Department of Surgery, University of Tübingen, Liebermeisterstrasse 8, 72076, Tübingen, Germany

    Jürgen Pinocy, Antje Lange & Horst D. Becker

  2. Department of Radiology, University of Tübingen, Liebermeisterstrasse 8, 72076, Tübingen, Germany

    Claudius König

  3. Institute of Pathology, University of Tübingen, Liebermeisterstrasse 8, 72076, Tübingen, Germany

    Edwin Kaiserling & Stefan M. Kröber

Authors
  1. Jürgen Pinocy
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  2. Antje Lange
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  3. Claudius König
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  4. Edwin Kaiserling
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  5. Horst D. Becker
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  6. Stefan M. Kröber
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Corresponding author

Correspondence to Stefan M. Kröber.

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Pinocy, J., Lange, A., König, C. et al. Xanthogranulomatous cholecystitis resembling carcinoma with extensive tumorous infiltration of the liver and colon. Langenbecks Arch Surg 388, 48–51 (2003). https://doi.org/10.1007/s00423-003-0362-x

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  • DOI: https://doi.org/10.1007/s00423-003-0362-x

Keywords

  • Cholecystectomy
  • Gallbladder
  • Gallstones
  • Xanthogranulomatous cholecystitis