2020 Volume 56 Issue 1 Pages 95-99
We report a case of xanthogranulomatous cholecystitis (XGC) that developed in childhood. The patient was a 13-year-old girl with a history of abdominal pain. She was diagnosed as having acute cholecystitis on the basis of her enhanced inflammatory responses and gallstone/bladder wall thickening. She was relieved temporarily by conservative treatment, but she was admitted and discharged repeatedly owing to abdominal pain after meals and referred to our hospital for further examination and treatment. At the time of admission to our hospital, she showed no signs of gallbladder inflammation but was judged as having conservative-treatment-resistant gallstones and cholecystitis; thus, laparoscopic cholecystectomy (LC) was performed. Histopathological diagnosis revealed XGC, and the development from acute cholecystitis to xanthogranulomatous formation was analyzed retrospectively. When abdominal pain recurs repeatedly in children with cholelithiasis, it is necessary to carefully monitor changes in the gallbladder wall by ultrasonography and consider early LC, given the possibility of XGC development without the enhancement of inflammatory responses.
