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Xanthogranulomatous Cholecystitis Mimicking Carcinoma Gallbladder
Elisha Poddar1, Prakash Mainali2, Suraj Shrestha1
1Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal.
Case Reports in Hepatology
|February 23, 2023
Summary
Xanthogranulomatous cholecystitis (XGC) is a rare gallbladder condition that can mimic cancer. This case highlights the diagnostic challenges and emphasizes differentiating XGC from gallbladder carcinoma.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Xanthogranulomatous cholecystitis (XGC) is a rare, benign, chronic inflammatory gallbladder disease.
- XGC often presents clinically mimicking gallbladder carcinoma, posing diagnostic challenges.
Observation:
- A 62-year-old male presented with imaging findings suggestive of gallbladder carcinoma on CECT abdomen and MRCP.
- Intraoperative findings revealed a gallbladder mass with extensive local invasion.
Findings:
- Histopathological examination confirmed Xanthogranulomatous cholecystitis (XGC).
- The patient underwent palliative cholecystectomy due to extensive local invasion.
Implications:
- This case underscores the importance of considering XGC in the differential diagnosis of gallbladder masses.
- Accurate preoperative differentiation between XGC and gallbladder cancer is crucial for appropriate patient management.
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