A CASE OF XANTHOGRANULOMATOUS CHOLECYSTITIS OBSERVED CONSECUTIVELY BY ENDOSCOPICAL ULTRASONOGRAPHY

Abstract

A 49-years-old man with fungal endophthalmitis was admitted because of elevated bile ductal enzymes and abnormality of gallbladder wall demonstrated by abdominal ultrasonography (US). 2 months ago he had colectomy for colon cancer. By endoscopic US (EUS) on admission, GB was enlarged and the, normal structure of the wall disappeared. One month later, GB was contracted and the wall was thickened with the irregular 3 layers structure. The cholecystectomy was performed and the histological findings revealed xanthogranulomatous cholecystitis (XGC) in the whole of GB wall. In this case, the typical findings of XGC and its serial changes were obtained by EUS.