Abstract
Abstract: Xanthgranulomatous cholecystitis (XGC) is an usual disease and considered as uncommon variant of chronic cholecystitis resulting in the development of a granulomatous inflammation, mainly consisting of xanthoma cells containing bile pigments. Laparoscopic cholecystectomy is frequently unsuccessful with a relatively high conversion rate to open cholecystectomy because of its pathologic feature. Pre and intra-operative diagnosis is difficult and it often mimics a gallbladder carcinoma. Therefore, detailed radiological and histological exploration is necessary to avoid over surgery with misdiagnosis, and intra-operative frozen section histology is helpful to differentiate XGC from gallbladder carcinoma.