Xanthogranulomatous Cholecystitis Mimicking Gallbladder Cancer; Report of a Case.

Eriguchi, Naofumi; Matsunaga, Akira; Shoji, Tetsuo; Futamata, Yasuhiko; Hanamoto, Yuji; Tayama, Kosuke; Harada, Hiroshi; Yoshihara, Satoshi; Yoshida, Atsushi; Aoyagi, Shigeaki

doi:10.2739/kurumemedj.48.321

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“…An incorrect diagnosis, which may be as high as 25%, results in inappropriate surgery in the form of open exploration or gallbladder bed resection for GB Ca rather than simple laparoscopic cholecystectomy for XGC or a missed diagnosis of GB Ca in patients undergoing a laparoscopic cholecystectomy who require open exploration or gallbladder bed resection. XGC also is associated with an increased rate of conversion from laparoscopic to open operative procedures owing to procedural difficulty related to local inflammation creating dense adhesions or gallbladder wall thickening…”

Section: Introductionmentioning

confidence: 99%

Xanthogranulomatous cholecystitis: a European and global perspective

Hale

Roberts

Hodson

et al. 2014

HPB

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XGC is a global disease and is associated with GB Ca. Characteristic pathological, radiological and clinical features are shared with GB Ca and contribute to considerable treatment inaccuracy. Tissue sampling by pre-operative endoscopic ultrasound or intra-operative frozen section is required to accurately diagnose gallbladder pathology and should be performed before any extensive resection is performed.

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