Xanthogranulomatous Cholecystitis.

Eriguchi, Naofumi; Aoyagi, Shigeaki; Tamae, Tsuyoshi; Kanazawa, Naomitsu; Nagashima, Jun; Nishimura, Kazunori; Hamada, Shigeru; Kawabata, Masahiro; Kodama, Takahito

doi:10.2739/kurumemedj.48.219

Cited by 14 publications

(16 citation statements)

References 2 publications

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“…A preoperative diagnosis of XGC is difficult, and intraoperative diagnosis from a frozen section is often needed to differentiate XGC from carcinoma. 9,11 USG results revealing the existence of hypoechoic nodules or bands in the wall of the gallbladder or CT findings showing a hypodense band around the gallbladder may be strong indications of XGC 7 ; however, there were only 2 patients in the present series with such CT findings. Cholecystectomy (complete or partial) is the treatment of choice for XGC.…”

Section: Discussioncontrasting

confidence: 47%

“…Goodman and Ishak first coined the term ''XGC'' in 1981 when they examined 40 cases from the Armed Forces Institute of Pathology. 9 In the present series, the incidence of XGC was 1.1% among 1248 cholecystectomies performed between 2005 and 2011. XGC is observed in a small proportion of cholecystectomy specimens, ranging from 0.7 to 1.8% in the United States, 9.3 to 13.2% in India, and 1.2 to 10% in Japan.…”

Section: Discussionmentioning

confidence: 86%

“…XGC is observed in a small proportion of cholecystectomy specimens, ranging from 0.7 to 1.8% in the United States, 9.3 to 13.2% in India, and 1.2 to 10% in Japan. 9 XGC is more prevalent in middle-aged women. 1,7 In the presented series, there was an obvious female predominance, with a male:female ratio of 0.55.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Finding During a Common Procedure: Xanthogranulomatous Cholecystitis

Taskesen

Arıkanoğlu

Uslukaya

et al. 2014

International Surgery

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Xanthogranulomatous cholecystitis is a rare variant of chronic cholecystitis characterized by severe proliferative fibrosis and accumulation of lipid-laden macrophages in regions of destructive inflammation. Xanthogranulomatous cholecystitis clinically and radiologically mimics early-stage gallbladder cancer, with wall thickening on computed tomography. The study included 14 xanthogranulomatous cholecystitis patients that were identified following retrospective analysis of the records of 1248 patients that underwent cholecystectomy between 2005 and 2011. Mean age of the 5 male and 9 female patients was 56.7 years. All 14 patients had gallbladder stones; 10 had a history of acute cholecystitis, 1 had cholangitis, and 2 presented with obstructive jaundice. A right-upper quadrant mass was palpable in 2 patients. All patients underwent cholecystectomy. Open surgery was planned and performed in 6 of the 14 patients, and laparoscopic cholecystectomy was planned in 8 patients, but was converted to open surgery in 1 case. In total, 1 patient developed wound infection, 1 patient had postoperative pneumonia, and 1 patient developed intraabdominal hematoma. None of the patients in the series died. Xanthogranulomatous cholecystitis is difficult to diagnose, both preoperatively and intraoperatively, and definitive diagnosis depends exclusively on pathological examination. Xanthogranulomatous cholecystitis should be a consideration in all difficult cholecystectomy cases.

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Section: Discussioncontrasting

confidence: 47%

Section: Discussionmentioning

confidence: 86%

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A Rare Finding During a Common Procedure: Xanthogranulomatous Cholecystitis

Taskesen

Arıkanoğlu

Uslukaya

et al. 2014

International Surgery

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“…Similar to the previous reports the mean age was 63 years in our study. 12,13 This suggests that age must be one of the significant factors in the development of the XGC. The male to female ratio range is from 2:1 to 1:2 in other series.…”

Section: Discussionmentioning

confidence: 99%

Xanthogranulomatous cholecystitis remains a challenge in medical practice: experience in 24 cases

Yıldırım¹,

Öztekin²,

Akdamar³

et al. 2009

Radiology and Oncology

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“…The pre-operative clinical picture resembles that of acute or chronic cholecystitis and on imaging studies it may mimic GB cancer 4,5 . It has been associated with increased chances of perioperative complications and a difficult cholecystectomy 6 . This study analyzed the clinical aspects of XGC, to assess laparoscopic cholecystectomy as a modality for treatment& identify causes for difficult cholecystectomy in XGC.…”

Section: Introductionmentioning

confidence: 99%

Xanthogranulomatous cholecystitis: Challenges in management & Feasibility of laparoscopic surgery

Chauhan¹

2013

Inte. Jour. of Medi. Res. & Health Sci.

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Objective: Xanthogranulomatous cholecystitis (XGC) is a rare, unusual and destructive form of chronic cholecystitis. It is clinically indistinguishable from other forms of cholecystitis and hence difficult to diagnose. Due to its propensity to form dense adhesions with stuctures surrounding the gall bladder and mimic malignancy of gall bladder intra-operatively, it's difficult to manage. This retrospective study was conducted with the aim to review the clinico-pathologic presentation of XGC and the possibility of its laparoscopic management. Patient and methods: All cases of histo-pathologically diagnosed XGC from

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Xanthogranulomatous Cholecystitis.

Cited by 14 publications

References 2 publications

A Rare Finding During a Common Procedure: Xanthogranulomatous Cholecystitis

A Rare Finding During a Common Procedure: Xanthogranulomatous Cholecystitis

Xanthogranulomatous cholecystitis remains a challenge in medical practice: experience in 24 cases

Xanthogranulomatous cholecystitis: Challenges in management & Feasibility of laparoscopic surgery

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