BACKGROUND Xanthogranulomatous cholecystitis is a form of chronic cholecystitis which is rarely encountered in surgical practice and it presents as puzzle to the clinician and the radiologist. During surgery, it shows properties like severe adhesion and infiltration masquerading cancer, thus adequate knowledge about this entity can be useful in prevention long-term morbidity which is associated with it. We present a case of xanthogranulomatous cholecystitis in a 45-year-old male patient, who underwent a difficult but complete cholecystectomy and made an uneventful postoperative recovery.
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