Korean Journal of Gastrointestinal Endoscopy 1998;18(1): 122-128.
증례 : 담도 췌장 ; 특이한 역행성췌담관 조영술 소견을 보인 황색 육아종성 담낭염 1예 ( Case Reports : Biliary Tract & Pancreas ; Unusual Endoscopic Retrograde Cholangiographic Finding in a Case of Xanthogranulomatous Cholecystitis )
이낙원, 전진석, 한기주, 최우봉, 오제호, 이영창, 정일권, 김홍수, 박상흠, 이문호, 김선주, 김대중 (Nak Weon Lee, Jin Seok Jeon, Ki Ju Han, Woo Bong Choi, Je Ho Oh, Young Chang Lee, Il Kwun Chung, Hong Soo Kim, Sang Heum Park, Mun Ho Lee, Sun Joo Kim and Dae Joong Kim)
Abstract
Xanthogranulomatous cholecystitis is a rare form of chronic gallbladder inflammation that is characterized by a severe proliferative fibrosis and has rarely been described in the radiologic literature. Like xanthogranulomatous pyelonephritis, it is an entirely benign but unusual expression of a reactive process and may be confused with a malignant neoplasm. Histologically, foamy histiocytes, multinucleated giant cells, other inflammatory cells, fibrous reaction with spindle cells, cholesterol cleft and noncaseating granuloma were found. Treatment of this benign inflammatory condition requires cholecystectomy to remove the focus of inflammation, control subsequent infection and relieve symptoms A case of xanthogranulomatous cholecystitis mimiking carcinoma of the gallbladder on abdominal USG, abdominal CT, and ERCP examination is presented with brief review of the literature (Korean J Gastrointest Edosc 18: 122-128, 1998)
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