Abstract
Xanthogranulomatous cholecystitis is an uncommon inflammatory disease of gallbladder and difficult to deffirentiate preoperatively from gallbladder cancer. We experienced a rare case of Xanthogranulomatous cholecystitis (XGC) accompanied by duodenum stenosis. A 51-year-old man was admitted complaining of inappetence and vomiting. An upper GI series showed a duodenum and pylorus stenosis. Abdominal computed tomography revealed a gallbladder with a thickened wall and possible infiltration to the liver and duodenum. The preoperative diagnosis was gallbladder cancer with liver and duodenum invasion. Extended cholecystectomy and gastroduodenostomy was performed. An intraoperative frozen section diagnosis did not reveal any cancer cells. The histological diagnosis of the resected specimens was xanthogranulomatous cholecystitis.
